MYRA B GULOTTA
NPI 1417701806
Social Worker - Clinical in Lafayette, LA

Active since April 12, 2024PECOS EnrolledAccepts Medicare Assignment
215 RUE FONTAINE, LAFAYETTE, LA 70508(337) 577-5203(337) 806-9339 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2024, Jun 16, 2024, Apr 12, 2024 (3 updates tracked since 2024).

About Myra B Gulotta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYRA B GULOTTA (NPI 1417701806) is an individual clinical provider in Lafayette, Louisiana, licensed in Louisiana (16542) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1417701806
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMYRA B GULOTTA
Location Address215 RUE FONTAINELafayette, LA 70508-5742
Mailing Address215 Rue FontaineLafayette, LA 70508-5742 · (337) 577-5203 · Fax (337) 806-9339
Fax(337) 806-9339
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 12, 2024
Last NPPES UpdateJune 17, 20243 updates tracked since enumeration
NPPES CertifiedJune 17, 2024
NPI 1417701806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in LA · 16542
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
215 RUE FONTAINE, Lafayette, LA 70508

Other Names 1

Professional Name (2)Myra Gulotta Lcsw

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Myra B Gulotta is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799226387
PECOS Enrollment IDI20240925004660
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70508 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.43 – $164.73
Typical copayment $0.00 (range $13.35 – $41.18)
Most-billed visit code NA
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
215 RUE FONTAINE
LAFAYETTE, LA 70508
Nurse Practitioner (Psychiatric/Mental Health)
215 RUE FONTAINE
LAFAYETTE, LA 70508
Nurse Practitioner (Psychiatric/Mental Health)
215 RUE FONTAINE
LAFAYETTE, LA 70508
Nurse Practitioner (Psychiatric/Mental Health)
215 RUE FONTAINE
LAFAYETTE, LA 70508
Social Worker (Clinical)
215 RUE FONTAINE
LAFAYETTE, LA 70508
Nurse Practitioner (Psychiatric/Mental Health)
215 RUE FONTAINE
LAFAYETTE, LA 70508
Social Worker (Clinical)
215 RUE FONTAINE
LAFAYETTE, LA 70508

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Myra Gulotta's NPI number?

The NPI number for Myra Gulotta is 1417701806. It was assigned to this individual provider in the NPPES registry on April 12, 2024. The provider is also known as Myra Gulotta Lcsw.

Where is Myra Gulotta located?

Myra Gulotta practices at 215 Rue Fontaine, Lafayette, LA 70508. The listed phone number is (337) 577-5203.

What is Myra Gulotta's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Myra Gulotta enrolled in Medicare?

Yes. Myra Gulotta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Myra Gulotta accept?

Health plans from Blue Cross and Blue Shield of Louisiana and UnitedHealthcare list Myra Gulotta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Myra Gulotta was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.