Individual provider Active NPI

Elizabeth Moore Standifer, MSW, LCSW

  • Clinical Social Worker
  • Baton Rouge, LA
National Provider Identifier
1942547245
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6318 Issued in LA
Practice address
4358 S Jeffrey Dr Ste a
Baton Rouge, LA 70816-4196
Phone
(225) 317-4365
NPI assigned
Jan 8, 2013
Last updated
Jun 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7542 OR
Clinical Social Worker 1041C0700X 6318 LA Primary

Addresses

Primary practice location

4358 S Jeffrey Dr Ste a
Baton Rouge, LA 70816-4196

Mailing address

PO Box 41151
Baton Rouge, LA 70835-1151
Phone (225) 317-4365

Other practice location 1

12616 Jefferson Hwy
Baton Rouge, LA 70816-6240
Phone (225) 317-4365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150408002652 LA Practitioner - Clinical Social Worker 2860710555 Reassigns benefits to 2 organizations
I20230920000902 OR Practitioner - Clinical Social Worker 2860710555 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7542ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Parishes Human Services Authority CurrentSince Apr 1, 2015 Accepting new patients
Mindful Therapy Group PC Clinical CurrentSince Aug 10, 2023 Accepting new patients
Elizabeth Moore Standifer, LCSW LLC CurrentSince Feb 1, 2022 Accepting new patients
Florida Parishes Human Services Authority CurrentSince Apr 1, 2015 Accepting new patients

Locations

12616 Jefferson Hwy
Baton Rouge, LA 70816
Phone (225) 317-4365

4358 S Jeffrey Dr
Ste A
Baton Rouge, LA 70816
Phone (225) 317-4365

835 Pride Dr
Ste B
Hammond, LA 70401
Phone (985) 543-4333

5440 SW Westgate Dr
Ste 350
Portland, OR 97221
Phone (503) 292-1100

2355 State St
Ste 101
Salem, OR 97301
Phone (503) 383-9039

11740 SW 68th Pkwy
Ste 200
Tigard, OR 97223
Phone (425) 477-4216

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1942547245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41151",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708351151",
            "telephone_number": "225-317-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4358 S JEFFREY DR STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164196",
            "telephone_number": "225-317-4365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12616 Jefferson Hwy",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708166240",
            "country_code": "US",
            "telephone_number": "225-317-4365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANDIFER",
        "first_name": "ELIZABETH",
        "middle_name": "MOORE",
        "name_prefix": "Ms.",
        "credential": "MSW,  LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-08",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "7542",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "6318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.