Active NPI
Lenita Hargrove, RSW
- Case Manager/Care Coordinator
- Hammond, LA
National Provider Identifier
1962874420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1417 W Morris Ave
Suite E
Hammond, LA 70403 - Phone
- (985) 542-9949
- NPI assigned
- Oct 23, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 11110 | LA | |
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1417 W Morris Ave
Suite E
Hammond, LA 70403
Mailing address
111 Pineridge St W
Mandeville, LA 70448-7542
Phone (281) 813-5274
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600751961 | Medicaid | LA |
Other names 1
- Miss Lenita Wiley
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11110 | LA | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inkreasing Kare Behavioral Health, LLC | Past | Accepting new patients | |
| New Beginnings Behavioral Healthcare Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Hammond, LA
- NPI 1427590801
-
- Developmentally Disabled Services Day Training Agency
- Hammond, LA
- NPI 1316161730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531094400000",
"number": "1962874420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 PINERIDGE ST W",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704487542",
"telephone_number": "281-813-5274",
"fax_number": "225-291-9692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 W MORRIS AVE",
"address_2": "SUITE E",
"city": "HAMMOND",
"state": "LA",
"postal_code": "70403",
"telephone_number": "985-542-9949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARGROVE",
"first_name": "LENITA",
"name_prefix": "Miss",
"credential": "RSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-23",
"last_updated": "2018-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "11110",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600751961",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LENITA",
"last_name": "WILEY",
"prefix": "MISS",
"credential": "RSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.