Individual provider Active NPI

Jamie Sartwell Clark, GSW,LCSW

  • Social Worker
  • Baton Rouge, LA
National Provider Identifier
1780793851
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
8738 Issued in LA
Practice address
13414 Hooper Rd Ste D
Baton Rouge, LA 70818-2909
Phone
(225) 413-3922
NPI assigned
Aug 30, 2006
Last updated
Apr 14, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 8738 LA Primary

Addresses

Primary practice location

13414 Hooper Rd Ste D
Baton Rouge, LA 70818-2909

Mailing address

15708 Chaumont Ave
Greenwell Springs, LA 70739-3830
Phone (225) 262-6153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2026 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8738LAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jamie Clark LCSW LLC PastSince Sep 20, 2011 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1780793851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15708 CHAUMONT AVE",
            "city": "GREENWELL SPRINGS",
            "state": "LA",
            "postal_code": "707393830",
            "telephone_number": "225-262-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13414 HOOPER RD STE D",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708182909",
            "telephone_number": "225-413-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JAMIE",
        "middle_name": "SARTWELL",
        "name_prefix": "Mrs.",
        "credential": "GSW,LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "8738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.