Active NPI
Jimmy Lamar Giddings, LBSW
- Social Worker
- Shreveport, LA
National Provider Identifier
1730741240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 21994
- Practice address
- 2924 Knight St Ste 436
Shreveport, LA 71105-2431 - Phone
- (318) 272-2320
- NPI assigned
- Jul 3, 2019
- Last updated
- Jul 3, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 21994 | TX | Primary |
Addresses
Primary practice location
2924 Knight St Ste 436
Shreveport, LA 71105-2431
Mailing address
2114 E Marshall Ave Apt 202
Longview, TX 75601-6900
Phone (903) 431-5309
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316398781 | Medicaid | LA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21994 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562112000000",
"number": "1730741240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2114 E MARSHALL AVE APT 202",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756016900",
"telephone_number": "903-431-5309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2924 KNIGHT ST STE 436",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711052431",
"telephone_number": "318-272-2320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIDDINGS",
"first_name": "JIMMY",
"middle_name": "LAMAR",
"credential": "LBSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-03",
"last_updated": "2019-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "21994",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1316398781",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.