Baton Rouge Therapie, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BATON ROUGE THERAPIE, LLC

Practice address

7732 Goodwood Blvd Ste 102
Baton Rouge, LA 70806-7680

Phone

(504) 517-6390

NPI assigned

Mar 21, 2023

Last updated

Jan 7, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard Warren Jackson Jr., LCSW-BACS, LAC, CCGCNPI 1891206116

Title

Owner/Social Worker

Phone

(504) 517-6390

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Warren Jackson Jr., LCSW-BACS, LAC, CCGC

  • Clinical Social Worker
  • Baton Rouge, LA
  • NPI 1891206116
  NPD Authorized official

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1255033460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 S FOSTER DR STE 120",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708065943",
            "telephone_number": "504-517-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7732 GOODWOOD BLVD STE 102",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708067680",
            "telephone_number": "504-517-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATON ROUGE THERAPIE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "OWNER/SOCIAL WORKER",
        "authorized_official_telephone_number": "504-517-6390",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCSW-BACS, LAC, CCGC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.