Individual provider Active NPI

Jennifer Hildebrand, L.C.S.W.

  • Clinical Social Worker
  • Baton Rouge, LA
National Provider Identifier
1326294869
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9039 Issued in LA
Practice address
3535 S Sherwood Forest Blvd Ste 201
Baton Rouge, LA 70816-2261
Phone
(225) 398-8641
Fax
(225) 452-9096
NPI assigned
Aug 15, 2008
Last updated
Nov 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9039 LA Primary

Addresses

Primary practice location

3535 S Sherwood Forest Blvd Ste 201
Baton Rouge, LA 70816-2261

Mailing address

4903 Harbor LN
Greenwell Springs, LA 70739-3771
Phone (850) 776-7896

Other identifiers 1

IdentifierTypeStateIssuer
0295583300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190521001447 LA Practitioner - Clinical Social Worker 9830432525 Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9039LAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1326294869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4903 HARBOR LN",
            "city": "GREENWELL SPRINGS",
            "state": "LA",
            "postal_code": "707393771",
            "telephone_number": "850-776-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 S SHERWOOD FOREST BLVD STE 201",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162261",
            "telephone_number": "225-398-8641",
            "fax_number": "225-452-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDEBRAND",
        "first_name": "JENNIFER",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-15",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "9039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0295583300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.