Lolita Edebiri

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

7627 Proxie Dr
Baton Rouge, LA 70817-5348

Phone

(225) 270-3927

NPI assigned

Jul 3, 2015

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1435881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1295118578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7627 PROXIE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708175348",
            "telephone_number": "225-270-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7627 PROXIE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708175348",
            "telephone_number": "225-270-3927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2156 Wooddale Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708061476",
            "country_code": "US",
            "telephone_number": "225-928-4040",
            "fax_number": "225-928-4111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDEBIRI",
        "first_name": "LOLITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-03",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295118578",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.