Individual provider Active NPI

Pamela Reitan, LMSW

  • Clinical Social Worker
  • Covington, LA
National Provider Identifier
1942679824
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12833 Issued in LA
Practice address
60 Louis Prima Dr Ste a
Covington, LA 70433-5903
Phone
(985) 327-5427
Fax
(985) 327-8800
NPI assigned
Sep 21, 2015
Last updated
Jan 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12833 LA Primary

Addresses

Primary practice location

60 Louis Prima Dr Ste a
Covington, LA 70433-5903

Mailing address

506 E Louisiana State Dr
Kenner, LA 70065-4117
Phone (504) 913-0932

Other practice location 1

506 E Louisiana State Dr
Kenner, LA 70065
Phone (504) 913-0932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20191102000054 LA Practitioner - Clinical Social Worker 1759613235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Therapeutic Partners LLCGroup PAC ID 0941460471, 7 clinicians

Practice addresses (Care Compare)

60 Louis Prima Dr a
Covington, LA 70433-5903
Phone (985) 327-5427

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12833LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Partners,LLC CurrentSince Oct 1, 2019 Accepting new patients

Locations

60 Louis Prima Dr
#A
Covington, LA 70433
Phone (985) 327-5427

Organizations & group practices 1

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": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1942679824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 E LOUISIANA STATE DR",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700654117",
            "telephone_number": "504-913-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 LOUIS PRIMA DR STE A",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335903",
            "telephone_number": "985-327-5427",
            "fax_number": "985-327-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 E Louisiana State Dr",
            "address_purpose": "LOCATION",
            "city": "Kenner",
            "state": "LA",
            "postal_code": "70065",
            "country_code": "US",
            "telephone_number": "504-913-0932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REITAN",
        "first_name": "PAMELA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "12833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.