Individual provider Active NPI

Taleisha Felton, MSW, LCSW

  • Clinical Social Worker
  • Gramercy, LA
National Provider Identifier
1982373874
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10671 Issued in LA
Practice address
531 N Pine St
Gramercy, LA 70052-3653
Phone
(225) 206-7583
Fax
(225) 417-7021
NPI assigned
Sep 13, 2021
Sex
Female
Sole proprietor
Yes

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.

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
I20240513003275 LA Practitioner - Clinical Social Worker 3375984008 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10671LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Psychcare of Louisiana, LLC CurrentSince Apr 6, 2024 Accepting new patients
Senior Psychological Care of Louisiana, LLC Clinical Current Accepting new patients

Locations

18180 Jefferson Hwy
Baton Rouge, LA 70817
Phone (225) 291-8474

1050 Medical Center Blvd
#C
Marrero, LA 70072
Phone (504) 347-0777

3405 Mansfield Rd
Shreveport, LA 71103
Phone (318) 222-3100

4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10671 LA Primary

Addresses

NPPES NPI Registry

Primary practice location

531 N Pine St
Gramercy, LA 70052-3653

Mailing address

531 N Pine St
Gramercy, LA 70052-3653
Phone (225) 206-7583

Other names 1

NPPES NPI Registry
  • Taleisha M Jacque Professional name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 10, 2024.

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1982373874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 N PINE ST",
            "city": "GRAMERCY",
            "state": "LA",
            "postal_code": "700523653",
            "telephone_number": "225-206-7583",
            "fax_number": "225-417-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 N PINE ST",
            "city": "GRAMERCY",
            "state": "LA",
            "postal_code": "700523653",
            "telephone_number": "225-206-7583",
            "fax_number": "225-417-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTON",
        "first_name": "TALEISHA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "10671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TALEISHA",
            "last_name": "JACQUE",
            "middle_name": "M",
            "credential": "LCSW-BACS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gramercy, LA

Sources for this page

Verify at the official NPI Registry.