Porsha Marie Jackson, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

15200 Issued in LA

Practice address

3455 Florida St Ste 400
Baton Rouge, LA 70806-3764

Phone

(225) 256-6604

Fax

(225) 256-2553

NPI assigned

Feb 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Porsha Marie Kennedy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1144786211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11361 N 99TH AVE STE 402",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853455459",
            "telephone_number": "602-650-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 FLORIDA ST STE 400",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063764",
            "telephone_number": "225-256-6604",
            "fax_number": "225-256-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "PORSHA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "15200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PORSHA",
            "last_name": "KENNEDY",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "RSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael M Jackson
• Myrikle Alesia Jackson, BACHELOR OF SCIENCE
• Nedrea Chanta Jackson
• Patrice Quinette Jackson
• Phyllis Jackson
• Rabun Dakota Jackson
• Richard Warren Jackson Jr., LCSW-BACS, LAC, CCGC
• Rosa Shenice Jackson
• Shantasia Jackson
• Sharon Jackson, APRN, FNP

• Social Worker in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.