LIFESOURCE OF NORTH CAROLINA
NPI 1497378848
Social Worker - Clinical in Slidell, LA

Active since May 20, 2020
505 ROBERT BLVD, SLIDELL, LA 70458(910) 742-9243(888) 746-1787 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 25, 2021, Nov 24, 2020, May 20, 2020 (3 updates tracked since 2020).

About Lifesource Of North Carolina NPPES

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

LIFESOURCE OF NORTH CAROLINA (NPI 1497378848) is a healthcare organization registered as a clinical in Slidell, Louisiana and active in the NPI registry since May 2020. The organization lists Peggy L Baddour, President, as its authorized official.

NPPES Registry Identity

NPI1497378848
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLIFESOURCE OF NORTH CAROLINA
Location Address505 ROBERT BLVDSlidell, LA 70458-1645
Mailing AddressPo Box 538622Atlanta, GA 30353-8622 · (910) 535-1211 · Fax (919) 746-7603
Fax(888) 746-1787
Organization SubpartNo
Authorized OfficialPeggy L BaddourPresident · (910) 777-9165
Enumeration DateMay 20, 2020
Last NPPES UpdateMarch 25, 20213 updates tracked since enumeration
NPPES CertifiedMarch 25, 2021
NPI 1497378848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedClinical Nurse SpecialistTaxonomy 364S00000X
505 ROBERT BLVD, Slidell, LA 70458

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

Occupational Therapist
505 ROBERT BLVD
SLIDELL, LA 70458
Physical Therapist
505 ROBERT BLVD
SLIDELL, LA 70458
Speech-Language Pathologist
505 ROBERT BLVD
SLIDELL, LA 70458
Skilled Nursing Facility
505 ROBERT BLVD
SLIDELL, LA 70458
Nurse Practitioner (Family)
505 ROBERT BLVD
SLIDELL, LA 70458

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 Lifesource Of North Carolina's NPI number?

The NPI number for Lifesource Of North Carolina is 1497378848. It was assigned to this organization in the NPPES registry on May 20, 2020.

Where is Lifesource Of North Carolina located?

Lifesource Of North Carolina is located at 505 Robert Blvd, Slidell, LA 70458. The listed phone number is (910) 742-9243.

What is Lifesource Of North Carolina's specialty?

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

When was this NPI record last updated?

The NPPES record for Lifesource Of North Carolina was last updated on March 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.