Individual provider Active NPI

Jemiela Castleberry, LCSW

  • Clinical Social Worker
  • Baton Rouge, LA
National Provider Identifier
1174073555
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13263 Issued in LA
Practice address
9814 Brookline Ave.
Suite C
Baton Rouge, LA 70809
Phone
(225) 930-2993
Fax
(225) 930-2991
NPI assigned
Oct 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 13263 LA
Clinical Social Worker 1041C0700X 13263 LA Primary

Addresses

Primary practice location

9814 Brookline Ave.
Suite C
Baton Rouge, LA 70809

Mailing address

10668 Wrigley Field Ave
Denham Springs, LA 70726-1840
Phone (985) 750-5933

Other practice location 1

10668 Wrigley Field Ave
Denham Springs, LA 70726-1840
Phone (985) 750-5933

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
I20201116000592 LA Practitioner - Clinical Social Worker 1254742653 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
HIV-AIDS Alliance for Region Two CurrentSince Nov 9, 2022 Accepting new patients
HIV-AIDS Alliance for Region Two Current Accepting new patients
HIV-AIDS Alliance for Region Two Past Accepting new patients
HIV-AIDS Alliance for Region Two PastSince Jan 28, 2024 Accepting new patients

Locations

3801 North Blvd
Baton Rouge, LA 70806
Phone (225) 381-6620

9516 Airline Hwy
Baton Rouge, LA 70815
Phone (225) 424-1746

15755 Jefferson Hwy
Rm 537
Baton Rouge, LA 70817

4550 North Blvd
Ste 250
Baton Rouge, LA 70806
Phone (225) 927-1269

Organizations & group practices 4

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": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1174073555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10668 WRIGLEY FIELD AVE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707261840",
            "telephone_number": "985-750-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9814 BROOKLINE AVE.",
            "address_2": "SUITE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70809",
            "telephone_number": "225-930-2993",
            "fax_number": "225-930-2991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10668 Wrigley Field Ave",
            "address_purpose": "LOCATION",
            "city": "Denham Springs",
            "state": "LA",
            "postal_code": "707261840",
            "country_code": "US",
            "telephone_number": "985-750-5933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTLEBERRY",
        "first_name": "JEMIELA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "13263",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "13263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.