NPIMap

Organization Active NPI

Gail Jackson-Wolfe LCSW

  • Clinical Social Worker
  • Houma, LA
National Provider Identifier
1558616268
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5905 Issued in LA
Legal business name
GAIL JACKSON-WOLFE LCSW
Practice address
1386 W Tunnel Blvd
Houma, LA 70360-2731
Phone
(985) 872-4553
Fax
(985) 872-1803
NPI assigned
Jul 18, 2012
Last updated
Jul 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Authorized official

Name
Gail Jackson-Wolfe, LCSW
Title
President
Phone
(985) 637-0411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5905 LA Primary

Addresses

Primary practice location

1386 W Tunnel Blvd
Houma, LA 70360-2731

Mailing address

3349 N University Dr
Suite 4
Hollywood, FL 33024-9000
Phone (954) 885-9500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1558616268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 N UNIVERSITY DR",
            "address_2": "SUITE 4",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330249000",
            "telephone_number": "954-885-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1386 W TUNNEL BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602731",
            "telephone_number": "985-872-4553",
            "fax_number": "985-872-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAIL JACKSON-WOLFE LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "JACKSON-WOLFE",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-637-0411",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "5905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.