Active NPI
Anisa Marie Al-Jabi, LCSW
- Clinical Social Worker
- Lafayette, LA
National Provider Identifier
1275733248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7796
- Practice address
- 1304 Bertrand Dr
Ste E6
Lafayette, LA 70506-9105 - Phone
- (337) 237-1353
- Fax
- (337) 237-1353
- NPI assigned
- Jul 19, 2007
- 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 | 7796 | LA | Primary |
Addresses
Primary practice location
1304 Bertrand Dr
Ste E6
Lafayette, LA 70506-9105
Mailing address
PO Box 61843
Lafayette, LA 70596-1843
Phone (337) 237-1353
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111229000189 | LA | Practitioner - Clinical Social Worker | 1153590070 | Practice locations: Lafayette, LA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
143 Ridgeway Dr
Suite 305
Lafayette, LA 70503-3495
Phone (337) 501-0035
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486339200000",
"number": "1275733248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 61843",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705961843",
"telephone_number": "337-237-1353",
"fax_number": "337-237-1353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 BERTRAND DR",
"address_2": "STE E6",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705069105",
"telephone_number": "337-237-1353",
"fax_number": "337-237-1353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-JABI",
"first_name": "ANISA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-19",
"last_updated": "2017-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "7796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.