Individual provider Active NPI

Jillana Vessel-Thompson, LCSW

  • Clinical Social Worker
  • Harvey, LA
National Provider Identifier
1063797074
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4808 Issued in LA
Practice address
2439 Manhattan Blvd Ste 503a
Harvey, LA 70058-5328
Phone
(504) 434-0017
Fax
(504) 341-1442
NPI assigned
Oct 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4808 LA Primary
School Social Worker 1041S0200X 4808 LA

Addresses

Primary practice location

2439 Manhattan Blvd Ste 503a
Harvey, LA 70058-5328

Mailing address

2439 Manhattan Blvd Ste 503a
Harvey, LA 70058-5328
Phone (504) 434-0017

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
I20230816004456 LA Practitioner - Clinical Social Worker 5294197687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2439 Manhattan Blvd
Suite 503a
Harvey, LA 70058-5328
Phone (504) 434-0017

3350 Ridgelake Dr
Suite 200
Metairie, LA 70002-3836

3828 Mercer LN
Harvey, LA 70058-5644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4808LAMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Real Talk Therapeutic Services LLC Clinical CurrentSince Jun 9, 2023 Accepting new patients
Reynolds Counseling and Wellness Services LLC Clinical CurrentSince Jan 14, 2024 Accepting new patients

Locations

2439 Manhattan Blvd
Ste 503A
Harvey, LA 70058
Phone (504) 323-4380

3350 Ridgelake Dr
Ste 200
Metairie, LA 70002
Phone (504) 434-0017

Organizations & group practices 2

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": "1319155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1063797074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2439 MANHATTAN BLVD STE 503A",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700585328",
            "telephone_number": "504-434-0017",
            "fax_number": "504-341-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2439 MANHATTAN BLVD STE 503A",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700585328",
            "telephone_number": "504-434-0017",
            "fax_number": "504-341-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESSEL-THOMPSON",
        "first_name": "JILLANA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-21",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "4808",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "LA",
            "license": "4808",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, LA

Sources for this page

Verify at the official NPI Registry.