Individual provider Active NPI

Janice Pennington, LCSW

  • Social Worker
  • Hammond, LA
National Provider Identifier
1063507093
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1904 Issued in LA
Practice address
1000 N Morrison Blvd
Ste G2
Hammond, LA 70401
Phone
(985) 542-6736
Fax
(985) 542-6736
NPI assigned
Oct 4, 2006
Last updated
Jul 13, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 1904 LA Primary

Addresses

Primary practice location

1000 N Morrison Blvd
Ste G2
Hammond, LA 70401

Mailing address

1000 N Morrison Blvd
Ste G2
Hammond, LA 70401
Phone (985) 542-6736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101013000057 LA Practitioner - Clinical Social Worker 2264624998 Practice locations: Hammond, LA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 N Morrison Blvd
Hammond, LA 70401-2233
Phone (985) 542-6736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1904LAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1063507093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N MORRISON BLVD",
            "address_2": "STE G2",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "70401",
            "telephone_number": "985-542-6736",
            "fax_number": "985-542-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N MORRISON BLVD",
            "address_2": "STE G2",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "70401",
            "telephone_number": "985-542-6736",
            "fax_number": "985-542-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "JANICE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "1904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.