Individual provider Active NPI

Ann Elizabeth Kern, M.S.W.

  • Clinical Social Worker
  • Sulphur, LA
National Provider Identifier
1518094366
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2108 Issued in LA
Practice address
1215 S Post Oak Rd
Suite 9
Sulphur, LA 70663-5200
Phone
(337) 625-7068
Fax
(337) 625-7069
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2108 LA Primary

Addresses

Primary practice location

1215 S Post Oak Rd
Suite 9
Sulphur, LA 70663-5200

Mailing address

1215 S Post Oak Rd
Suite 9
Sulphur, LA 70663-5200
Phone (337) 625-7068

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2108LAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518094366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 S POST OAK RD",
            "address_2": "SUITE 9",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635200",
            "telephone_number": "337-625-7068",
            "fax_number": "337-625-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 S POST OAK RD",
            "address_2": "SUITE 9",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635200",
            "telephone_number": "337-625-7068",
            "fax_number": "337-625-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERN",
        "first_name": "ANN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "2108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.