Active NPI
Jeremy M Dellavecchia, LMSW
- Social Worker
- Shreveport, LA
National Provider Identifier
1790698801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 19559
- Practice address
- 1945 E 70TH St
Shreveport, LA 71105-5347 - Phone
- (318) 227-4999
- NPI assigned
- Sep 28, 2026
- Last updated
- Sep 28, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | 19559 | LA | Primary |
Addresses
Primary practice location
1945 E 70TH St
Shreveport, LA 71105-5347
Mailing address
2415 Princeton Dr
Barksdale AFB, LA 71110-2171
Other names 1
- Jeremy Dellavecchia
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790553600000",
"number": "1790698801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 PRINCETON DR",
"city": "BARKSDALE AFB",
"state": "LA",
"postal_code": "711102171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 E 70TH ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055347",
"telephone_number": "318-227-4999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELLAVECCHIA",
"first_name": "JEREMY",
"middle_name": "M",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-28",
"last_updated": "2026-09-28",
"certification_date": "2026-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "19559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEREMY",
"last_name": "DELLAVECCHIA",
"credential": "LMSW",
"code": "2",
"type": "Professional Name"
}
]
}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 Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.