Individual provider Active NPI

Jeanne Grant, LCSW

  • Social Worker
  • Slidell, LA
National Provider Identifier
1679589097
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
8143 Issued in LA
Practice address
620 Oak Harbor
Suite 101
Slidell, LA 70458-8862
Phone
(985) 788-1374
Fax
(985) 276-3391
NPI assigned
Jul 31, 2006
Last updated
Sep 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 8143 LA Primary

Addresses

Primary practice location

620 Oak Harbor
Suite 101
Slidell, LA 70458-8862

Mailing address

620 Oak Harbor Blvd 101
Slidell, LA 70458-8862
Phone (985) 788-1374

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090723000647 LA Practitioner - Clinical Social Worker 1052463924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

2810 E Causeway Approach
Mandeville, LA 70448-3502
Phone (985) 875-2340

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8143LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince May 19, 2022 Accepting new patients
Ochsner Clinic LLC CurrentSince May 19, 2022 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Department of Health and Hospitals Past Accepting new patients
Louisiana Department of Health, Department of Health and Hospitals Past Accepting new patients

Locations

2810 E Causeway Approach
Mandeville, LA 70448
Phone (985) 674-9400

1514 Jefferson Hwy
New Orleans, LA 70121

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1679589097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 OAK HARBOR BLVD 101",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588862",
            "telephone_number": "985-788-1374",
            "fax_number": "985-276-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 OAK HARBOR",
            "address_2": "SUITE 101",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588862",
            "telephone_number": "985-788-1374",
            "fax_number": "985-276-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "JEANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "8143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.