Active NPI
Rochelle Adair Jipson-Poor, LCSW
- Clinical Social Worker
- Baton Rouge, LA
National Provider Identifier
1265961577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12288
- Practice address
- 778 Chevelle Dr
Baton Rouge, LA 70806-6503 - Phone
- (850) 982-5548
- NPI assigned
- Jun 8, 2017
- Last updated
- Jun 8, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12288 | LA | Primary |
Addresses
Primary practice location
778 Chevelle Dr
Baton Rouge, LA 70806-6503
Mailing address
2240 Wisteria St
Baton Rouge, LA 70806-5348
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12288 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496880000000",
"number": "1265961577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 WISTERIA ST",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708065348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "778 CHEVELLE DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708066503",
"telephone_number": "850-982-5548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIPSON-POOR",
"first_name": "ROCHELLE",
"middle_name": "ADAIR",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-08",
"last_updated": "2017-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "12288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.