Active NPI
Avery Brewton, LCSW, DMH, RA
- Clinical Social Worker
- Metairie, LA
National Provider Identifier
1992331185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13430
- Practice address
- 110 Veterans Memorial Blvd Ste 425
Metairie, LA 70005-4959 - Phone
- (504) 838-8283
- NPI assigned
- Mar 19, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 13430 | LA | Primary |
Addresses
Primary practice location
110 Veterans Memorial Blvd Ste 425
Metairie, LA 70005-4959
Mailing address
110 Veterans Memorial Blvd Ste 425
Metairie, LA 70005-4959
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 |
|---|---|---|---|
| 13430 | LA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1992331185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 VETERANS MEMORIAL BLVD STE 425",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700054959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 VETERANS MEMORIAL BLVD STE 425",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700054959",
"telephone_number": "504-838-8283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWTON",
"first_name": "AVERY",
"name_prefix": "Ms.",
"credential": "LCSW, DMH, RA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-19",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "13430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.