Individual provider Active NPI

Jaime R. Michot, MSW, LCSW

  • School Social Worker
  • Duson, LA
National Provider Identifier
1104162239
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
4199 Issued in LA
Practice address
2645 S Fieldspan Rd
Duson, LA 70529-4201
Phone
(337) 501-7169
Fax
(337) 521-7891
NPI assigned
Dec 18, 2012
Last updated
Dec 18, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 4199 LA Primary

Addresses

Primary practice location

2645 S Fieldspan Rd
Duson, LA 70529-4201

Mailing address

113 Chaplin Dr
Lafayette, LA 70508-2101
Phone (337) 501-7169

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
4199LAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1104162239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CHAPLIN DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705082101",
            "telephone_number": "337-501-7169",
            "fax_number": "337-521-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 S FIELDSPAN RD",
            "city": "DUSON",
            "state": "LA",
            "postal_code": "705294201",
            "telephone_number": "337-501-7169",
            "fax_number": "337-521-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHOT",
        "first_name": "JAIME",
        "middle_name": "R.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "LA",
            "license": "4199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duson, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.