COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION (NPI# 1467061515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467061515 |
| Entity Type | Organization |
| Organization Name | COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION |
| Practice Address |
1560 Irving Place Shreveport LA 71101-4604 |
| Mailing Address |
2120 Bert Kouns Industrial Loop Ste H Shreveport LA 71118-3354 |
| Practice Telephone | 3186883350 |
| Mailing Telephone | 3186883350 |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |
| Authorized Official Name | MRS. MARY M CHUMLEY (CEO) |
| Authorized Official Telephone | 3186883350 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CASSE - DIAMC Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455456 | Council for Advancement of Social Service and Education | Clinic/Center | 2120 Bert Kouns Industrial Loop Ste K-l, Shreveport, LA 71118-3351 | 2020-07-24 |
| 1912428244 | Council for Advancement of Social Service and Education | Clinic/Center | 149 Stonecreek Dr., Stonewall, LA 71078-6100 | 2017-06-27 |
| 1104340686 | Council for Advancement of Social Service and Education | Clinic/Center | 149 Stonecreek Dr., Stonewall, LA 71078-4906 | 2017-07-27 |
| 1275053506 | Council for Advancement of Social Service and Education | Clinic/Center | 2120 Airline Dr, Bossier City, LA 71111-3106 | 2017-06-27 |
| 1134532062 | Council for Advancement of Social Service and Education | Clinic/Center | 2120 Bert Kouns Industrial Loop, Suite A, Shreveport, LA 71118-3351 | 2014-06-09 |
| 1508155649 | Council for Advancement of Social Service and Education | Dentist | 2120 Bert Kouns Industrial Loop, Suite E, Shreveport, LA 71118-3351 | 2011-03-29 |
| 1285942284 | Council for Advancement of Social Service and Education | Clinic/Center | 907 Polk St, Mansfield, LA 71052-2520 | 2010-09-24 |
| 1447337787 | Council for Advancement of Social Service and Education | Psychologist | 2120 Bert Kouns Industrial Loop, Ste. E, Shreveport, LA 71118-3351 | 2006-11-01 |
| Street Address |
1560 IRVING PLACE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455456 | Council for Advancement of Social Service and Education | Clinic/Center | 2120 Bert Kouns Industrial Loop Ste K-l, Shreveport, LA 71118-3351 | 2020-07-24 |
| 1760042394 | David Raines Community Health Center, Inc. | Clinic/Center | 4331 Henry St, Shreveport, LA 71109-6820 | 2019-06-17 |
| 1215933254 | David Raines Community Health Center, Inc | Clinic/Center | 3041 Dr Martin Luther King Dr, Shreveport, LA 71107-4705 | 2005-06-23 |
| 1144705930 | David Raines Community Health Center Inc | Clinic/Center | 1625 David Raines Rd, Shreveport, LA 71107-5899 | 2018-09-27 |
| 1487178315 | David Raines Community Health Center, Inc. | Clinic/Center | 7611 Saint Vincent Ave, Shreveport, LA 71106-4231 | 2017-08-02 |
| 1760906630 | David Raines Community Health Center | Clinic/Center | 7340 Wyngate Blvd, Shreveport, LA 71106-3920 | 2017-08-01 |
| 1437673464 | David Raines Community Health Center, Inc. | Clinic/Center | 351 Hearne Ave, Shreveport, LA 71103-2019 | 2017-08-01 |
| 1760904981 | David Raines Community Health Center, Inc. | Clinic/Center | 401 W 70th St, Shreveport, LA 71106-3034 | 2017-07-10 |
| 1134532062 | Council for Advancement of Social Service and Education | Clinic/Center | 2120 Bert Kouns Industrial Loop, Suite A, Shreveport, LA 71118-3351 | 2014-06-09 |
| 1104249473 | David Raines Community Health Center, Inc. | Clinic/Center | 3021 W 70th St, Shreveport, LA 71108-4603 | 2014-01-22 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION.
| 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.