Individual provider Active NPI

Jessica Hebert Shirk

  • Clinical Social Worker
  • Baton Rouge, LA
National Provider Identifier
1023839636
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18925 Issued in LA
Practice address
18218 Lake Iris Ave
Baton Rouge, LA 70817-7579
Phone
(225) 279-3237
NPI assigned
Oct 17, 2024
Reactivated
Dec 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 18925 LA Primary

Addresses

Primary practice location

18218 Lake Iris Ave
Baton Rouge, LA 70817-7579

Mailing address

18218 Lake Iris Ave
Baton Rouge, LA 70817-7579

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
18925LAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1023839636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18218 LAKE IRIS AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708177579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18218 LAKE IRIS AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708177579",
            "telephone_number": "225-279-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRK",
        "first_name": "JESSICA",
        "middle_name": "HEBERT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-17",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "deactivation_date": "2025-12-10",
        "reactivation_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "18925",
            "primary": true
        }
    ],
    "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 7, 2026; 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.