Individual provider Active NPI

Jasmine Thomas, LCSW

  • Clinical Social Worker
  • New Orleans, LA
National Provider Identifier
1053788729
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12070 Issued in LA
Practice address
744 Dante St
New Orleans, LA 70118-1014
Phone
(504) 762-0374
NPI assigned
Aug 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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 12070 LA Primary

Addresses

Primary practice location

744 Dante St
New Orleans, LA 70118-1014

Mailing address

42293 Cedarstone Ave
Prairieville, LA 70769-6380
Phone (504) 762-0374

Other practice location 1

42293 Cedarstone Ave
Prairieville, LA 70769-6380
Phone (504) 762-0374

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
12070LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Metanoia Therapy Services Clinical CurrentSince Jan 26, 2020 Accepting new patients

Locations

744 Dante St
New Orleans, LA 70118
Phone (504) 232-3114

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1053788729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42293 CEDARSTONE AVE",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707696380",
            "telephone_number": "504-762-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 DANTE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701181014",
            "telephone_number": "504-762-0374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42293 Cedarstone Ave",
            "address_purpose": "LOCATION",
            "city": "Prairieville",
            "state": "LA",
            "postal_code": "707696380",
            "country_code": "US",
            "telephone_number": "504-762-0374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JASMINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "12070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.