Active NPI
Judith Perry Pol, LCSW
- Social Worker
- Baton Rouge, LA
National Provider Identifier
1285240432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 3629
- Practice address
- 3600 Florida St
Baton Rouge, LA 70806-3842 - Phone
- (225) 767-4673
- NPI assigned
- Sep 22, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 3629 | LA | Primary |
Addresses
Primary practice location
3600 Florida St
Baton Rouge, LA 70806-3842
Mailing address
3600 Florida St
Baton Rouge, LA 70806-3842
Phone (225) 767-4673
Other names 1
- Judith P Moon
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@hospicebr.org | Health Information Exchange (HIE) | |
| Direct Messaging Address | info@hospicebr.org |
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 |
|---|---|---|---|
| 3629 | LA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600732800000",
"number": "1285240432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 FLORIDA ST",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708063842",
"telephone_number": "225-767-4673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 FLORIDA ST",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708063842",
"telephone_number": "225-767-4673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POL",
"first_name": "JUDITH",
"middle_name": "PERRY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-22",
"last_updated": "2020-09-22",
"certification_date": "2020-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "3629",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@hospicebr.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "3600 Florida St",
"city": "Baton Rouge",
"state": "LA",
"country_code": "US",
"postal_code": "708063842",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@hospicebr.org",
"affiliation": "N",
"address_1": "3600 Florida St",
"city": "Baton Rouge",
"state": "LA",
"country_code": "US",
"postal_code": "708063842",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JUDITH",
"last_name": "MOON",
"middle_name": "P",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}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 Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.