Healthcare Provider Details

I. General information

NPI: 1306015888
Provider Name (Legal Business Name): SOCIAL WORK SERVICES OF LA., INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2008
Last Update Date: 06/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1986 DALLAS DR
BATON ROUGE LA
70806-1400
US

IV. Provider business mailing address

PO BOX 2558
DENHAM SPRINGS LA
70727-2558
US

V. Phone/Fax

Practice location:
  • Phone: 225-928-5373
  • Fax: 225-928-8524
Mailing address:
  • Phone: 225-665-8785
  • Fax: 225-667-2559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number278
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number278
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number278
License Number StateLA

VIII. Authorized Official

Name: MR. WILLIAM E. WHITFIELD
Title or Position: CEO
Credential: LCSW
Phone: 225-324-6975