Active NPI
Robert Marion Kerne, LCSW AND LMFT
- Clinical Social Worker
- Hammond, LA
National Provider Identifier
1053485425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1771
- Practice address
- 620 N Morrison Blvd
Suite 4
Hammond, LA 70401-2312 - Phone
- (985) 351-3237
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1771 | LA | Primary |
| Marriage & Family Therapist | 106H00000X | MFT 905 | LA |
Addresses
Primary practice location
620 N Morrison Blvd
Suite 4
Hammond, LA 70401-2312
Mailing address
620 N Morrison Blvd
Suite 4
Hammond, LA 70401-2312
Phone (985) 351-3237
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2185012 | Medicaid | LA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1771 | LA | MD | Clinical Social Worker |
| MFT 905 | LA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505088000000",
"number": "1053485425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 N MORRISON BLVD",
"address_2": "SUITE 4",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704012312",
"telephone_number": "985-351-3237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 N MORRISON BLVD",
"address_2": "SUITE 4",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704012312",
"telephone_number": "985-351-3237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERNE",
"first_name": "ROBERT",
"middle_name": "MARION",
"credential": "LCSW AND LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2017-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "1771",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "LA",
"license": "MFT 905",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2185012",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.