Individual provider Active NPI

Ronald Emile Fletcher, LCSW

  • Clinical Social Worker
  • New Orleans, LA
National Provider Identifier
1962761643
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4896 Issued in LA
Practice address
3501 Holiday Dr
Suite 405
New Orleans, LA 70114-8202
Phone
(504) 390-6145
Fax
(504) 367-7201
NPI assigned
May 15, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2023

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 4896 LA Primary

Addresses

Primary practice location

3501 Holiday Dr
Suite 405
New Orleans, LA 70114-8202

Mailing address

3501 Holiday Dr
Suite 405
New Orleans, LA 70114-8202
Phone (504) 390-6145

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
I20131114000207 LA Practitioner - Clinical Social Worker 4981830353 Practice locations: New Orleans, LA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Louisiana State University School of Medicine in New Orleans, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3501 Holiday Dr
Suite 405
New Orleans, LA 70114-8248
Phone (504) 390-6145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Educators Delight Clinical Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1962761643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 HOLIDAY DR",
            "address_2": "SUITE 405",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701148202",
            "telephone_number": "504-390-6145",
            "fax_number": "504-367-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 HOLIDAY DR",
            "address_2": "SUITE 405",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701148202",
            "telephone_number": "504-390-6145",
            "fax_number": "504-367-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "RONALD",
        "middle_name": "EMILE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-15",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "4896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.