Individual provider Active NPI

Jena Zanco, LCSW

  • Clinical Social Worker
  • Covington, LA
National Provider Identifier
1336864461
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4966 Issued in LA
Practice address
671 River Highlands Blvd
Covington, LA 70433-8987
Phone
(985) 624-2942
Fax
(985) 231-1373
NPI assigned
Oct 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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 4966 LA Primary

Addresses

Primary practice location

671 River Highlands Blvd
Covington, LA 70433-8987

Mailing address

671 River Highlands Blvd
Covington, LA 70433-8987
Phone (985) 624-2942

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
I20230613000623 LA Practitioner - Clinical Social Worker 0143687764 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Behavioral Health ServicesGroup PAC ID 4587027834, 6 clinicians

Practice addresses (Care Compare)

671 River Highlands Blvd
Suite 8
Covington, LA 70433-8987
Phone (985) 624-2942

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4966LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Healing & Wellness LLC Clinical CurrentSince Mar 1, 2023 Accepting new patients
Genesis Behavioral Health Services Clinical CurrentSince Apr 11, 2024 Accepting new patients
Genesis Behavioral Health Services PastSince Jul 31, 2023 Accepting new patients

Locations

10755 Linkwood Ct
Baton Rouge, LA 70810
Phone (225) 317-9419

8714 Jefferson Hwy
Ste A
Baton Rouge, LA 70809
Phone (225) 431-5930

14707 Perkins Rd
Baton Rouge, LA 70810

671 River Highlands Blvd
Ste 8
Covington, LA 70433
Phone (985) 624-2942

671 River Highlands Blvd
Covington, LA 70433
Phone (985) 624-2942

433 Metairie Rd
Ste 520
Metairie, LA 70005
Phone (225) 771-9980

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1336864461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 RIVER HIGHLANDS BLVD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338987",
            "telephone_number": "985-624-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 RIVER HIGHLANDS BLVD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338987",
            "telephone_number": "985-624-2942",
            "fax_number": "985-231-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANCO",
        "first_name": "JENA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "4966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.