Active NPI
Nicole Falgoust, LCSW
- Clinical Social Worker
- Baton Rouge, LA
National Provider Identifier
1962731414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10505
- Practice address
- 10211 Siegen Lane
Ste 2B
Baton Rouge, LA 70810 - Phone
- (225) 767-3121
- Fax
- (225) 767-3122
- NPI assigned
- Dec 11, 2009
- Last updated
- Mar 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 10505 | LA | Primary |
Addresses
Primary practice location
10211 Siegen Lane
Ste 2B
Baton Rouge, LA 70810
Mailing address
10211 Siegen Lane
Ste 2B
Baton Rouge, LA 70810
Phone (225) 767-3121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 21, 2020 through Jun 21, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10505 | LA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646265600000",
"number": "1962731414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10211 SIEGEN LANE",
"address_2": "STE 2B",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70810",
"telephone_number": "225-767-3121",
"fax_number": "225-767-3122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10211 SIEGEN LANE",
"address_2": "STE 2B",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70810",
"telephone_number": "225-767-3121",
"fax_number": "225-767-3122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALGOUST",
"first_name": "NICOLE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-11",
"last_updated": "2022-03-03",
"certification_date": "2022-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "10505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.