Active NPI
Katelyn D Ennis
- Social Worker
- Hammond, LA
National Provider Identifier
1740752864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 15156
- Practice address
- 1312 N. Morrison Blvd.
Hammond, LA 70401 - Phone
- (985) 551-5155
- NPI assigned
- Dec 31, 2018
- Last updated
- Jul 24, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 15156 | LA | Primary |
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
1312 N. Morrison Blvd.
Hammond, LA 70401
Mailing address
12409 Jackson Dr Apt B
Hammond, LA 70401-6045
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 |
|---|---|---|---|
| 15156 | LA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1740752864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12409 JACKSON DR APT B",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704016045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1312 N. MORRISON BLVD.",
"city": "HAMMOND",
"state": "LA",
"postal_code": "70401",
"telephone_number": "985-551-5155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENNIS",
"first_name": "KATELYN",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-31",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "15156",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hammond, LA
- En Christo Counseling Services, Inc.
- En Christo Counseling, Inc.
- Madison Leigh Engels, LCSW
- Enhanced Life Chiropractic LLC
- Heidi Enk, RN
- Josette Ephemere, M.ED., LPC
- Epiphany Healthcare of Hammond (Back 2 Health Walk-In Clinic)
- Epiphany Healthcare of Hammond
- Epiphany Healthcare System, Inc
- Megan Eppes, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.