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NPI Code Detail

MEDICARE: FELICA CLAY MS, MSW

MEDICARE: FELICA CLAY MS, MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker19378LA
2171M00000XCase Manager/Care CoordinatorLA

General Provider Information

NPI Number : 1306660006
Entity Type Code : Individual
Provider Name (Legal Business Name) : FELICA CLAY MS, MSW
Provider Business Mailing Address
First Line : 622 RIVERSIDE DR
Second Line :
City : MONROE
State : LA
Zip : 71201-6211
Country : US
Telephone Number : 318-398-0945
Fax Number : 318-398-0099
Provider Business Practice Location Address
First Line : 622 RIVERSIDE DR
Second Line :
City : MONROE
State : LA
Zip : 71201-6211
Country : US
Telephone Number : 318-801-0011
Fax Number : 318-574-0066
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2024
Last Update Date : 04/24/2026

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