Individual provider Active NPI

Jane Bankston Smith, L.C.S.W.

  • Clinical Social Worker
  • Baton Rouge, LA
National Provider Identifier
1194870113
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1348 Issued in LA
Practice address
7777 Hennessy Blvd
Suite 302
Baton Rouge, LA 70808-4300
Phone
(225) 767-1181
Fax
(225) 765-3430
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1348 LA Primary

Addresses

Primary practice location

7777 Hennessy Blvd
Suite 302
Baton Rouge, LA 70808-4300

Mailing address

7777 Hennessy Blvd
Suite 302
Baton Rouge, LA 70808-4300
Phone (225) 767-1181

Other names 1

  • Ms. Jane V. Smith Professional name

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
I20040816000242 LA Practitioner - Clinical Social Worker 3779556030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7936 Wrenwood Blvd
Suite a
Baton Rouge, LA 70809-7701
Phone (225) 923-1181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1348LAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jane Bankston Smith, LCSW,LLC Clinical CurrentSince May 13, 2004 Accepting new patients
Our Lady of the Lake Physician Group LLC Past Accepting new patients
Stanley P Masinter LLC PastSince Jun 28, 2004 Accepting new patients
Our Lady of the Lake PastSince Jul 2, 2012 Accepting new patients

Locations

7936 Wrenwood Blvd
Ste A
Baton Rouge, LA 70809
Phone (225) 923-1181

7777 Hennessy Blvd
Ste 302
Baton Rouge, LA 70808
Phone (225) 374-0500

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194870113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "SUITE 302",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-767-1181",
            "fax_number": "225-765-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "SUITE 302",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-767-1181",
            "fax_number": "225-765-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JANE",
        "middle_name": "BANKSTON",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "1348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "SMITH",
            "middle_name": "V.",
            "prefix": "MS.",
            "credential": "L.C.S.W.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.