Yessica Olga Roque, CERTIFIED SW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18753 Issued in LA

Practice address

302 Dulles Dr
Lafayette, LA 70506-3008

Phone

(337) 262-4100

Fax

(337) 262-1146

NPI assigned

Sep 16, 2024

Last updated

Nov 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Resource Management Services of St. Landry, LLC

  dba Resource Management Services of St. Landry

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lafayette, LA
  • NPI 1235232786
  NPD (past)
• Resource Management Services, Inc. of Southwest Louisiana

  dba Resource Management Services, Inc. of SWLA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lake Charles, LA
  • NPI 1841300225
  NPD (past)

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1285461087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 COMMON ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015255",
            "telephone_number": "337-437-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 DULLES DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063008",
            "telephone_number": "337-262-4100",
            "fax_number": "337-262-1146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 Common St",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706015255",
            "country_code": "US",
            "telephone_number": "337-437-4014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROQUE",
        "first_name": "YESSICA",
        "middle_name": "OLGA",
        "name_prefix": "Mrs.",
        "credential": "CERTIFIED SW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "18753",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "18753",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Romero
• Sydni Larriviere Romero, RN
• Ronald Armand Jenkins
• Ronald J Daigle, MD, Apmc
• Roots Pediatric Dentistry, LLC
• Kimberly Matrice Rose
• Mecca M Rose
• Torian Rose
• Lashonda Rosette
• Rosewood Rehabilitation

• Clinical Social Worker in Lafayette, LA
• Providers in Lafayette, 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 Nov 19, 2024; 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.