Active NPI
Leon C Jackson, LCSW-BACS
- Clinical Social Worker
- Marrero, LA
National Provider Identifier
1598091605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 5200 Lapalco Blvd
Suite 2
Marrero, LA 70072-4254 - Phone
- (504) 417-2274
- NPI assigned
- Oct 23, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
5200 Lapalco Blvd
Suite 2
Marrero, LA 70072-4254
Mailing address
5901 Baccich St
New Orleans, LA 70122-6411
Phone (504) 417-2274
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211103000742 | LA | Practitioner - Clinical Social Worker | 8527456011 |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jefferson Community Health Care Centers, Inc
Practice addresses (Care Compare)
3932 Hwy 90 W
Avondale, LA 70094-2648
Phone (504) 436-2223
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- leon.jackson.1@12324.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393200000000",
"number": "1598091605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 BACCICH ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701226411",
"telephone_number": "504-417-2274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 LAPALCO BLVD",
"address_2": "SUITE 2",
"city": "MARRERO",
"state": "LA",
"postal_code": "700724254",
"telephone_number": "504-417-2274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "LEON",
"middle_name": "C",
"credential": "LCSW-BACS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-23",
"last_updated": "2014-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marrero, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.