LJ Rouse PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW10901 Issued in FL

Legal business name

LJ ROUSE PLLC

Practice address

429 S Tyndall Pkwy
Panama City, FL 32404-6765

Phone

(850) 960-2190

Fax

(850) 769-2366

NPI assigned

Mar 28, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Laura Rouse, LCSWNPI 1932457090

Title

Owner/LCSW

Phone

(850) 960-2190

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Rouse, LCSW

  • Clinical Social Worker
  • Panama City, FL
  • NPI 1932457090
  Authorized official Same address or phone

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1730684077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W 5TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012603",
            "telephone_number": "850-960-2190",
            "fax_number": "850-769-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 S TYNDALL PKWY",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324046765",
            "telephone_number": "850-960-2190",
            "fax_number": "850-769-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LJ ROUSE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "ROUSE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER/LCSW",
        "authorized_official_telephone_number": "850-960-2190",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK",
            "identifier": "HT655Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisenby LLLP (Lisenby on Lake Caroline)
• Lisenby LLLP (Lisenby on Lake Caroline)
• Tara Livengood, PSYD
• Livinglitemd
• Rhonda Livingston, PTA
• Jordan Madison Locke, RBT
• Kaitlyn Jade Locke, HAS
• Shamon A Lockhart
• Julie Logsdon
• Lloyd G Logue, DO

• Clinical Social Worker in Panama City, FL
• Providers in Panama City, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.