Active NPI
Ernest Dejean Jr., RSW
- Social Worker
- Metairie, LA
National Provider Identifier
1306677240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 7411
- Practice address
- 4720 S I 10 Service Rd W Ste 401
Metairie, LA 70001-1242 - Phone
- (504) 988-5435
- Fax
- (504) 988-5442
- NPI assigned
- Aug 12, 2024
- Sex
- Male
- 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 | 7411 | LA | Primary |
Addresses
Primary practice location
4720 S I 10 Service Rd W Ste 401
Metairie, LA 70001-1242
Mailing address
131 S Robertson St Ste 103410TH
New Orleans, LA 70112-2807
Phone (504) 988-5413
Other practice location 1
200 Henry Clay Ave
New Orleans, LA 70118-5720
Phone (504) 896-9740
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 |
|---|---|---|---|
| 7411 | LA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1306677240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 S ROBERTSON ST STE 103410TH",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122807",
"telephone_number": "504-988-5413",
"fax_number": "504-988-6013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4720 S I 10 SERVICE RD W STE 401",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700011242",
"telephone_number": "504-988-5435",
"fax_number": "504-988-5442"
}
],
"practiceLocations": [
{
"address_1": "200 Henry Clay Ave",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701185720",
"country_code": "US",
"telephone_number": "504-896-9740",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEJEAN",
"first_name": "ERNEST",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-12",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "7411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.