NPIMap

Organization Active NPI

Grief Recovery Center

  • Clinical Social Worker
  • Baton Rouge, LA
National Provider Identifier
1407079163
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1041C0700X Issued in LA
Legal business name
GRIEF RECOVERY CENTER
Practice address
4919 Jamestown Ave
Suite 102
Baton Rouge, LA 70808-3228
Phone
(225) 924-6621
Fax
(225) 924-6627
NPI assigned
Apr 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kathy R Vilas, MCSW
Title
Executive Director
Phone
(225) 924-6621

Specialties & licenses 1

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

Addresses

Primary practice location

4919 Jamestown Ave
Suite 102
Baton Rouge, LA 70808-3228

Mailing address

4919 Jamestown Ave
Suite 102
Baton Rouge, LA 70808-3228
Phone (225) 924-6621

National Provider Directory

National Provider Directory

Locations

4919 Jamestown Ave
Ste 102
Baton Rouge, LA 70808
Phone (225) 924-6621

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407079163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4919 JAMESTOWN AVE",
            "address_2": "SUITE 102",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708083228",
            "telephone_number": "225-924-6621",
            "fax_number": "225-924-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4919 JAMESTOWN AVE",
            "address_2": "SUITE 102",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708083228",
            "telephone_number": "225-924-6621",
            "fax_number": "225-924-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIEF RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VILAS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "225-924-6621",
        "authorized_official_credential": "MCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "1041C0700X",
            "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 22, 2020; 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.