NICOLE FONTENOT LCSW
NPI 1689337487
Social Worker - Clinical in Carencro, LA

Active since October 19, 2021Opted out of Medicare · through Jul 1, 2027
3423 NW EVANGELINE TRWY, CARENCRO, LA 70520(337) 205-5855 Get Directions Write a Review

NPPES record last updated: November 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2021, Oct 21, 2021 (2 updates tracked since 2021).

About Nicole Fontenot Lcsw NPPES

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

NICOLE FONTENOT LCSW (NPI 1689337487) is an individual clinical provider in Carencro, Louisiana, licensed in Louisiana (14127) and active in the NPI registry since October 2021. She has opted out of Medicare through July 1, 2027.

NPPES Registry Identity

NPI1689337487
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE FONTENOTCredential: LCSW
Location Address3423 NW EVANGELINE TRWYCarencro, LA 70520-6241
Mailing Address1085 Vizinat RdVille Platte, LA 70586-6977 · (337) 692-2155
Sole ProprietorYes
Enumeration DateOctober 19, 2021
Last NPPES UpdateNovember 5, 20212 updates tracked since enumeration
NPPES CertifiedNovember 5, 2021
NPI 1689337487 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 · 14127
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.
3423 NW EVANGELINE TRWY, Carencro, LA 70520

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Nicole Fontenot Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2023 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2023
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
3423 NW EVANGELINE TRWY
CARENCRO, LA 70520
Psychiatry & Neurology (Psychiatry)
3423 NW EVANGELINE TRWY
CARENCRO, LA 70520
Nurse Practitioner (Psychiatric/Mental Health)
3423 NW EVANGELINE TRWY
CARENCRO, LA 70520
Social Worker (Clinical)
3423 NW EVANGELINE TRWY
CARENCRO, LA 70520
Psychiatry & Neurology (Psychiatry)
3423 NW EVANGELINE TRWY
CARENCRO, LA 70520
Nurse Practitioner (Psychiatric/Mental Health)
3423 NW EVANGELINE TRWY
CARENCRO, LA 70520
Nurse Practitioner (Psychiatric/Mental Health)
3423 NW EVANGELINE TRWY
CARENCRO, LA 70520
Social Worker (Clinical)
3423 NW EVANGELINE TRWY
CARENCRO, LA 70520

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 Nicole Fontenot's NPI number?

The NPI number for Nicole Fontenot is 1689337487. It was assigned to this individual provider in the NPPES registry on October 19, 2021.

Where is Nicole Fontenot located?

Nicole Fontenot practices at 3423 NW Evangeline Trwy, Carencro, LA 70520. The listed phone number is (337) 205-5855.

What is Nicole Fontenot's specialty?

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

Is Nicole Fontenot enrolled in Medicare?

No. Nicole Fontenot has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Nicole Fontenot was last updated on November 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.