Jacqueline a. Danzell, LCSW, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

JACQUELINE A. DANZELL, LCSW, LLC

Doing business as

dba Oasis Community Counseling Center

Practice address

910 Pierremont Rd Ste 410
Shreveport, LA 71106-2056

Phone

(318) 861-8625

Fax

(318) 861-8626

NPI assigned

Aug 25, 2011

Last updated

Aug 21, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jacqueline A Danzell, LCSWNPI 1154355618

Title

President, Owner

Phone

(318) 861-8625

Specialties & licenses 3

Addresses

Other names 1

• dba Oasis Community Counseling Center Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 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.

• Jacqueline A. Danzell, LCSW

  • Clinical Social Worker
  • Shreveport, LA
  • NPI 1154355618
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1760762470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 PIERREMONT RD STE 410",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711062056",
            "telephone_number": "318-861-8625",
            "fax_number": "318-861-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 PIERREMONT RD STE 410",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711062056",
            "telephone_number": "318-861-8625",
            "fax_number": "318-861-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE A. DANZELL, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "DANZELL",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "318-861-8625",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Oasis Community Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Tibb Marie Jacobs, PHARM.D.
• Richard Wesley Jacobson, MD
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• Sathya Jaganmohan, M.D.
• Sanjay Jain
• Shruti Jain
• Shubhika Jain

• Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.