DEBRA HARTZO (NPI# 1124488952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124488952 |
| Entity Type | Individual |
| Full Name | DEBRA HARTZO |
| Credential | LMSW |
| Practice Address |
2924 Knight St Ste 434 Shreveport LA 71105-2413 |
| Practice Telephone | 3186311122 |
| Mailing Telephone | 3186556531 |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 4934 | TX | Behavioral Health & Social Service Providers |
| Street Address |
2924 KNIGHT ST STE 434 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-2413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023478153 | Anquitra Walton | Counselor | 2924 Knight St Ste 434, Shreveport, LA 71105 | 2016-03-02 |
| 1306445127 | Kasey Lynn Myers | Case Manager/Care Coordinator | 2924 Knight St Ste 434, Shreveport, LA 71105-2413 | 2020-10-22 |
| 1801422563 | Nicolette Fashay Wiggins | Case Manager/Care Coordinator | 2924 Knight St Ste 434, Shreveport, LA 71105-2413 | 2020-03-13 |
| 1679105720 | Tara T Dupont | Case Manager/Care Coordinator | 2924 Knight St Ste 434, Shreveport, LA 71105-2413 | 2020-02-06 |
| 1982169058 | Ashley Marie Hamil | Counselor | 2924 Knight St Ste 434, Shreveport, LA 71105-2413 | 2019-02-04 |
| 1205322278 | Darryln M Barnes | Counselor | 2924 Knight St Ste 434, Shreveport, LA 71105-2413 | 2018-07-02 |
| 1205325396 | Angela Kalyn Calhoun | Counselor | 2924 Knight St Ste 434, Shreveport, LA 71105-2413 | 2018-05-04 |
| 1073039079 | Lanita Proctor | Social Worker | 2924 Knight St Ste 434, Shreveport, LA 71105-2413 | 2017-08-21 |
| 1346799244 | Aubrie Boyle | Counselor | 2924 Knight St Ste 434, Shreveport, LA 71105-2413 | 2016-10-03 |
| 1497201206 | Laurel Karikari | Counselor | 2924 Knight St Ste 434, Shreveport, LA 71105-2413 | 2016-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790773 | De'sica Lavancer Mccray-stewart | Social Worker | 6428 Joy Dr, Shreveport, LA 71119-5110 | 2020-11-06 |
| 1811477011 | Tanesha Denise Butler | Social Worker | 3315 Warwick Dr, Shreveport, LA 71118-4323 | 2018-08-16 |
| 1417485012 | Mycheal L Mimes | Social Worker | 1500 N Market St Unit C, Shreveport, LA 71107 | 2017-05-25 |
| 1275069668 | Faniki Davis | Social Worker | 2930 W Maple St, Shreveport, LA 71109-2332 | 2017-05-04 |
| 1225579428 | Shondia Jackson | Social Worker | 9137 Mansfield Rd Apt 104, Shreveport, LA 71118-3143 | 2017-03-20 |
| 1114474327 | Daminica Richard | Social Worker | 1600 Severine Cir, Shreveport, LA 71108-3022 | 2016-09-06 |
| 1619423241 | Jaquita Hunter | Social Worker | 9100 Walker Rd, Apt. H13, Shreveport, LA 71118-2902 | 2016-09-01 |
| 1104286889 | Paulette Gorman | Social Worker | 6811 Fairfield Ave, Shreveport, LA 71106-3803 | 2016-02-24 |
| 1164895454 | Rekisha Roshela Perkins | Social Worker | 843 Ascalon St, Shreveport, LA 71106-5201 | 2015-11-09 |
| 1750753729 | Rahvi Smith | Social Worker | 4152 Calderwood Dr, Shreveport, LA 71119 | 2015-10-29 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
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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.