Individual provider Active NPI

Deric Jones, BSW

  • Social Worker
  • New Orleans, LA
National Provider Identifier
1104358241
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
615 Baronne St Ste 304
New Orleans, LA 70113-1054
Phone
(504) 814-8001
Fax
(504) 609-3366
NPI assigned
Mar 29, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

615 Baronne St Ste 304
New Orleans, LA 70113-1054

Mailing address

4936 Touro St
New Orleans, LA 70122-4072
Phone (504) 621-8602

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

Practice roles

OrganizationSpecialtyStatusNew patients
Creed Group of Louisiana LLC CurrentSince Aug 18, 2019 Accepting new patients
D Counseling & Family Therapy Social Worker Past Accepting new patients

Locations

615 Baronne St
Ste 304
New Orleans, LA 70113
Phone (504) 274-6306

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": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1104358241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4936 TOURO ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701224072",
            "telephone_number": "504-621-8602",
            "fax_number": "504-609-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 BARONNE ST STE 304",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701131054",
            "telephone_number": "504-814-8001",
            "fax_number": "504-609-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DERIC",
        "credential": "BSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-29",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Aug 16, 2019; 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.