Active NPI
Siomara Gittens-Galloway, CSW
- Clinical Social Worker
- Marrero, LA
National Provider Identifier
1942565767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7067
- Practice address
- 1111 Medical Center Blvd.
Ste. N804
Marrero, LA 70072-3147 - Phone
- (504) 349-6360
- Fax
- (504) 349-6363
- NPI assigned
- Jul 9, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7067 | LA | Primary |
Addresses
Primary practice location
1111 Medical Center Blvd.
Ste. N804
Marrero, LA 70072-3147
Mailing address
1111 Medical Center Blvd.
Ste. N804
Marrero, LA 70072-3147
Phone (504) 349-6360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7067 | Other | LA | LICENSED MASTER SOCIAL WORKER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7067 | LA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341792000000",
"number": "1942565767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 MEDICAL CENTER BLVD.",
"address_2": "STE. N804",
"city": "MARRERO",
"state": "LA",
"postal_code": "700723147",
"telephone_number": "504-349-6360",
"fax_number": "504-349-6363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 MEDICAL CENTER BLVD.",
"address_2": "STE. N804",
"city": "MARRERO",
"state": "LA",
"postal_code": "700723147",
"telephone_number": "504-349-6360",
"fax_number": "504-349-6363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GITTENS-GALLOWAY",
"first_name": "SIOMARA",
"credential": "CSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-09",
"last_updated": "2012-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "7067",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED MASTER SOCIAL WORKER",
"identifier": "7067",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marrero, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.