Jessica Harper

Individual provider Active NPI Clinical Social Worker · Amite, LA

NPI 1669060356 · NPPES record last updated Jan 7, 2021

Key facts

NPI
1669060356
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
9361 (LA)
Practice address
903 W Oak St
Amite, LA 70422-2754
Phone
(855) 869-9898
NPI assigned
Jan 7, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
9361LAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9361 LA Yes

Addresses

Primary practice location

903 W Oak St
Amite, LA 70422-2754

Mailing address

1054 SW Railroad Ave
Ponchatoula, LA 70454-3557
Phone (855) 869-9898

Other providers in Amite, LA

All providers in Amite, LA · Clinical Social Worker in Louisiana

Sources for this page

Verify at the official NPI Registry.