Active NPI
Salli Berry Phillips, LCSW
- Social Worker
- Baton Rouge, LA
National Provider Identifier
1295028702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1932
- Practice address
- 4950 Essen LN
Baton Rouge, LA 70809-3738 - Phone
- (225) 215-1252
- Fax
- (225) 766-0218
- NPI assigned
- May 17, 2011
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 1932 | LA | Primary |
Addresses
Primary practice location
4950 Essen LN
Baton Rouge, LA 70809-3738
Mailing address
652 Plantation Ridge LN
Baton Rouge, LA 70810-5052
Phone (225) 405-0050
Other names 1
- Salli Pratt Berry
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 |
|---|---|---|---|
| 1932 | LA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305590400000",
"number": "1295028702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "652 PLANTATION RIDGE LN",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708105052",
"telephone_number": "225-405-0050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4950 ESSEN LN",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093738",
"telephone_number": "225-215-1252",
"fax_number": "225-766-0218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "SALLI",
"middle_name": "BERRY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-17",
"last_updated": "2011-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "1932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SALLI",
"last_name": "BERRY",
"middle_name": "PRATT",
"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 May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.