Individual provider Active NPI

Dawn Rousell, LCSW

  • Clinical Social Worker
  • Baton Rouge, LA
National Provider Identifier
1356867725
Registry record updated Aug 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6906 Issued in LA
Practice address
4939 Jamestown Ave Ste 101
Baton Rouge, LA 70808-3253
Phone
(225) 924-6621
Fax
(225) 924-6621
NPI assigned
Aug 17, 2017
Last updated
Aug 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2017

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 6906 LA Primary

Addresses

Primary practice location

4939 Jamestown Ave Ste 101
Baton Rouge, LA 70808-3253

Mailing address

412 N 4TH St Ste 336
Baton Rouge, LA 70802-5548
Phone (225) 323-5349

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

LicenseStateTypeSpecialty
6906LAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grief Recovery Center Clinical PastSince Jan 29, 2020 Accepting new patients
Grief Recovery Center Clinical Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502928000000",
    "number": "1356867725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 N 4TH ST STE 336",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708025548",
            "telephone_number": "225-323-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4939 JAMESTOWN AVE STE 101",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708083253",
            "telephone_number": "225-924-6621",
            "fax_number": "225-924-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSELL",
        "first_name": "DAWN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2017-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "6906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; 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.