Individual provider Active NPI

Jessica Wilkinson, LCSW

  • Social Worker
  • Baton Rouge, LA
National Provider Identifier
1013321942
Registry record updated Jan 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
15878 Issued in LA
Practice address
210 Huey P Long Field House
Baton Rouge, LA 70803-2604
Phone
(225) 892-3820
NPI assigned
Jun 18, 2014
Last updated
Jan 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 15878 LA Primary
Social Worker 104100000X 7528-M AR

Addresses

Primary practice location

210 Huey P Long Field House
Baton Rouge, LA 70803-2604

Mailing address

1829 Blouin Ave
Baton Rouge, LA 70808-1412
Phone (225) 892-3820

Other practice location 1

2100 Pike Ave
North Little Rock, AR 72114-2604
Phone (501) 688-0606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7528-MARMDSocial Worker
15878LAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Health With Pace Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611964800000",
    "number": "1013321942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 BLOUIN AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708081412",
            "telephone_number": "225-892-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 HUEY P LONG FIELD HOUSE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708032604",
            "telephone_number": "225-892-3820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Pike Ave",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721142604",
            "country_code": "US",
            "telephone_number": "501-688-0606",
            "fax_number": "501-978-2801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2021-01-30",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "15878",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "7528-M",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.