Individual provider Active NPI

Jacob Marcus Tadevich, MSW, CSW

  • Social Worker
  • New Orleans, LA
National Provider Identifier
1316857568
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
20053 Issued in LA
Practice address
1936 Magazine St
New Orleans, LA 70130-5016
Phone
(504) 529-5558
Fax
(504) 529-8840
NPI assigned
Sep 10, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 20053 LA Primary

Addresses

Primary practice location

1936 Magazine St
New Orleans, LA 70130-5016

Mailing address

1936 Magazine St
New Orleans, LA 70130-5016
Phone (504) 529-5558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1316857568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 MAGAZINE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305016",
            "telephone_number": "504-529-5558",
            "fax_number": "504-529-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 MAGAZINE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305016",
            "telephone_number": "504-529-5558",
            "fax_number": "504-529-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADEVICH",
        "first_name": "JACOB",
        "middle_name": "MARCUS",
        "name_prefix": "Mr.",
        "credential": "MSW, CSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "20053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.