Individual provider Active NPI

Leslie Jane Johnson-Simmons, LMSW

  • School Social Worker
  • Pride, LA
National Provider Identifier
1689946394
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
6338 Issued in LA
Practice address
13700 Pride Port Hudson Rd
Pride, LA 70770-9200
Phone
(225) 658-0293
Fax
(225) 654-9368
NPI assigned
Jan 27, 2012
Last updated
Jan 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 6338 LA Primary

Addresses

Primary practice location

13700 Pride Port Hudson Rd
Pride, LA 70770-9200

Mailing address

12528 Ireland Ave
Baton Rouge, LA 70814-7810
Phone (225) 603-2050

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6338LAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1689946394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12528 IRELAND AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708147810",
            "telephone_number": "225-603-2050",
            "fax_number": "225-658-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13700 PRIDE PORT HUDSON RD",
            "city": "PRIDE",
            "state": "LA",
            "postal_code": "707709200",
            "telephone_number": "225-658-0293",
            "fax_number": "225-654-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-SIMMONS",
        "first_name": "LESLIE",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "LA",
            "license": "6338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pride, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.