Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Myra B Gulotta

Individual provider Clinical Social Worker · NPI 1417701806

Myra B Gulotta is a Clinical Social Worker in Lafayette, Louisiana. Qualified in 2021, 5 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
5
Licensed in
LA
In the registry since
2024

Practice location Address checks out

215 Rue Fontaine
Lafayette, LA 70508-5742
Phone: (337) 577-5203
Fax: (337) 806-9339
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 16542 (LA)

Record details

NPI number1417701806
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 12, 2024
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lafayette