Active NPI
Gina Jackson
- Social Worker
- Harvey, LA
National Provider Identifier
1033024468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 8711
- Practice address
- 2439 Manhattan Blvd Ste 304
Harvey, LA 70058-5341 - Phone
- (504) 333-6657
- NPI assigned
- Aug 18, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8711 | LA | Primary |
Addresses
Primary practice location
2439 Manhattan Blvd Ste 304
Harvey, LA 70058-5341
Mailing address
633 Lakeshore Village Dr
Slidell, LA 70461-5696
Phone (504) 333-6657
Other practice location 1
633 Lakeshore Village Dr
Slidell, LA 70461-5696
Phone (504) 638-5449
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1033024468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 LAKESHORE VILLAGE DR",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704615696",
"telephone_number": "504-333-6657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2439 MANHATTAN BLVD STE 304",
"city": "HARVEY",
"state": "LA",
"postal_code": "700585341",
"telephone_number": "504-333-6657"
}
],
"practiceLocations": [
{
"address_1": "633 Lakeshore Village Dr",
"address_purpose": "LOCATION",
"city": "Slidell",
"state": "LA",
"postal_code": "704615696",
"country_code": "US",
"telephone_number": "504-638-5449",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKSON",
"first_name": "GINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-18",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "8711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harvey, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.