Robert Richard Fezekas II, LMSW, LAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14427 Issued in LA

Practice address

201 Greenbrier Blvd
Covington, LA 70433-7236

Phone

(504) 239-4729

Fax

(985) 867-1154

NPI assigned

May 28, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1962025684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 JACKSON BLVD",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700432925",
            "telephone_number": "504-239-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GREENBRIER BLVD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337236",
            "telephone_number": "504-239-4729",
            "fax_number": "985-867-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEZEKAS",
        "first_name": "ROBERT",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "LMSW, LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "1518",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "14427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Taylor Fernandez
• Dawn Brewer Ferrara, NCC, LPC, LMFT
• Joseph Ferrer, M.A., NBCC, PLPC
• Ashley Miramon Ferret, DPT
• Crystal C. Ferris, DPT
• Arline Mary Ficarra, MD
• Christine Fields, FNP
• Sydney Nicole Finch, PA-C
• Sara Finesilver-Saunders, CSW
• John Herbert Finnan Jr., PHARM. D.

• Clinical Social Worker in Covington, LA
• Providers in Covington, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.