MR. DEDRIC WEST SR. (NPI# 1134584162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134584162 |
| Entity Type | Individual |
| Full Name | MR. DEDRIC WEST SR. |
| Credential | CIT |
| Practice Address |
411 S Broad St New Orleans LA 70119-7410 |
| Practice Telephone | 5048272928 |
| Mailing Telephone | 5048272928 |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
3400 | LA | Behavioral Health & Social Service Providers |
| Street Address |
411 S BROAD ST |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70119-7410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780222984 | Darlene Marie Jacobs-johnson | Case Manager/Care Coordinator | 411 S Broad St, New Orleans, LA 70119-7410 | 2019-12-18 |
| 1467010306 | Alexis L Gonzalez | Case Manager/Care Coordinator | 411 S Broad St, New Orleans, LA 70119-7410 | 2019-06-05 |
| 1588222327 | Linda Obinwanne Okoronkwo | Case Manager/Care Coordinator | 411 S Broad St, New Orleans, LA 70119-7410 | 2019-06-05 |
| 1730669854 | Denise S Thornton | Case Manager/Care Coordinator | 411 S Broad St, New Orleans, LA 70119-7410 | 2018-08-17 |
| 1659860591 | Geannee Armant | Case Manager/Care Coordinator | 411 S Broad St, New Orleans, LA 70119-7410 | 2018-05-07 |
| 1609371996 | Tonchelle Nicole Ward | Case Manager/Care Coordinator | 411 S Broad St, New Orleans, LA 70119-7410 | 2018-03-28 |
| 1336654144 | Jason Shane Scamardo | Counselor | 411 S Broad St, New Orleans, LA 70119 | 2017-12-04 |
| 1023521051 | Ruth-ann Sang | Case Manager/Care Coordinator | 411 S Broad St, New Orleans, LA 70119-7410 | 2017-11-13 |
| 1730613720 | Anabel Velazquez | Counselor | 411 S Broad St, New Orleans, LA 70119-7410 | 2017-04-17 |
| 1023568847 | Tenice Howard | Case Manager/Care Coordinator | 411 S Broad St, New Orleans, LA 70119-7410 | 2016-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161105 | Mark P Kostelak | Perfusionist | Southeast Louisiana Veterans Health Care System, 2400 Canal Street, New Orleans, LA 70119 | 2020-10-15 |
| 1922626365 | Shanika Valcour-leduff | Nurse Practitioner | 535 S Galvez St., New Orleans, LA 70119 | 2020-07-13 |
| 1932723335 | Just Health | Clinic/Center | 2800 Perdido St, New Orleans, LA 70119 | 2020-06-01 |
| 1205460235 | Lily Tran | Registered Nurse | 119 S Galvez Street, New Orleans, LA 70119 | 2020-02-28 |
| 1740823137 | Kaylyn Bernard | Case Manager/Care Coordinator | 2626 Canal St., New Orleans, LA 70119 | 2019-10-18 |
| 1114577954 | Alyssia Breion Smith | Case Manager/Care Coordinator | 1995 Gentilly Blvd. Ste. C-400, New Orleans, LA 70119 | 2019-09-13 |
| 1457903387 | Brian Steven Goldfarb | Dentist | 3701 Conti St, Apt #3403, New Orleans, LA 70119 | 2019-07-11 |
| 1013404011 | Made Positive, Inc. | Community/Behavioral Health | 3443 Esplanade Ave., Suite 215, New Orleans, LA 70119 | 2018-04-16 |
| 1972008654 | Griffin Caballero Brown | Student in an Organized Health Care Education/Training Program | 520 Jefferson Davis Hwy, New Orleans, LA 70119 | 2018-03-26 |
| 1902300544 | Kyle Raymond Hoppens | Student in an Organized Health Care Education/Training Program | 4502 Saint Ann Street, New Orleans, LA 70119 | 2018-03-20 |
| Find all providers in zip 70119 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780202127 | Allison Skapik | Counselor | 2700 South Broad St, New Orleans, LA 70125 | 2020-07-13 |
| 1821525650 | Veronica Buccola | Counselor | 1160 Camp St, New Orleans, LA 70130-4202 | 2017-05-11 |
| 1275060048 | Ja'nera Johnson | Counselor | 4425 General Pershing St, New Orleans, LA 70125-3632 | 2017-05-11 |
| 1467989202 | Derek Kahn Zwyer | Counselor | 7522 Benjamin St Apt 107, New Orleans, LA 70118-3783 | 2017-05-11 |
| 1336688787 | Gary Bentley | Counselor | 1919 Franklin Ave, New Orleans, LA 70117-7603 | 2017-02-17 |
| 1881139632 | Whitney Reichel | Counselor | 4832 Banks St, New Orleans, LA 70119-6608 | 2017-01-04 |
| 1629529268 | Dependency Relief Centers of America LLC | Counselor | 3439 Prytania St, Ste 501, New Orleans, LA 70115-7905 | 2016-10-19 |
| 1497206932 | Albert Franklin | Counselor | 2325 1/2 General Pershing St, New Orleans, LA 70115-6229 | 2016-10-19 |
| 1750838850 | April Jenkins | Counselor | 11416 Prentiss Ave, New Orleans, LA 70128-3048 | 2016-09-06 |
| 1750733267 | Sammy Sabine | Counselor | 4730 Washington Ave, New Orleans, LA 70125-1226 | 2016-07-08 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70119 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.