Individual provider Active NPI

Rebecca M Decker, LCSW

  • Clinical Social Worker
  • Baton Rouge, LA
National Provider Identifier
1275050510
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2113 Issued in LA
Practice address
3801 North Blvd
Baton Rouge, LA 70806-3825
Phone
(225) 655-6422
Fax
(225) 341-5903
NPI assigned
Aug 28, 2017
Last updated
Jun 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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 2113 LA Primary

Addresses

Primary practice location

3801 North Blvd
Baton Rouge, LA 70806-3825

Mailing address

11351 Pleasant Knoll Dr
Denham Springs, LA 70726-6074
Phone (225) 439-0535

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address suzanne.leblanc@ohcc.org Other

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2113LAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1275050510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11351 PLEASANT KNOLL DR",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707266074",
            "telephone_number": "225-439-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 NORTH BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063825",
            "telephone_number": "225-655-6422",
            "fax_number": "225-341-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "REBECCA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "2113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suzanne.leblanc@ohcc.org",
            "affiliation": "N",
            "endpointDescription": "Revenue Cycle Manager",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Credentialing",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3801 North Blvd",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708063825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 3, 2019; 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.