Individual provider Active NPI

Ashley Anthony Mirambell, LCSW

  • Clinical Social Worker
  • Metairie, LA
National Provider Identifier
1962836981
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11587 Issued in LA
Practice address
3613 Hessmer Ave Ste 101
Metairie, LA 70002-4876
Phone
(504) 324-7922
Fax
(504) 324-8698
NPI assigned
Aug 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 11587 LA
Clinical Social Worker 1041C0700X 11587 LA Primary

Addresses

Primary practice location

3613 Hessmer Ave Ste 101
Metairie, LA 70002-4876

Mailing address

3613 Hessmer Ave.
Suite 101
Metairie, LA 70002-5011
Phone (504) 813-7947

Other practice location 1

1141 Whitney Ave
Bldg. 4
Gretna, LA 70056-5011
Phone (504) 347-1120

Other names 1

  • Ashley Kay Anthony Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962836981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 HESSMER AVE.",
            "address_2": "SUITE 101",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025011",
            "telephone_number": "504-813-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 HESSMER AVE STE 101",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024876",
            "telephone_number": "504-324-7922",
            "fax_number": "504-324-8698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1141 Whitney Ave",
            "address_2": "Bldg. 4",
            "address_purpose": "LOCATION",
            "city": "Gretna",
            "state": "LA",
            "postal_code": "700565011",
            "country_code": "US",
            "telephone_number": "504-347-1120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRAMBELL",
        "first_name": "ASHLEY",
        "middle_name": "ANTHONY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "11587",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "11587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "ANTHONY",
            "middle_name": "KAY",
            "credential": "LMSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.