Individual provider Active NPI

Layneethia Woodridge, LCSW

  • Clinical Social Worker
  • Baton Rouge, LA
National Provider Identifier
1790964955
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9950 Issued in LA
Practice address
2751 Wooddale Blvd
Baton Rouge, LA 70805-7567
Phone
(225) 922-1414
NPI assigned
Oct 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 9950 LA
Clinical Social Worker 1041C0700X 9950 LA Primary

Addresses

Primary practice location

2751 Wooddale Blvd
Baton Rouge, LA 70805-7567

Mailing address

19934 Pecan Hill Dr
Zachary, LA 70791-5363
Phone (225) 305-6184

Other practice location 1

19934 Pecan Hill Dr
Zachary, LA 70791-5363
Phone (225) 305-6184

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
9950LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Area Human Services District Clinical CurrentSince Jan 7, 2023 Accepting new patients
Capital Area Human Services District CurrentSince Jan 7, 2023 Accepting new patients
Capital Area Human Services District CurrentSince Jan 9, 2023 Accepting new patients

Locations

2751 Wooddale Blvd
Ste A
Baton Rouge, LA 70805
Phone (225) 925-1906

2751 Wooddale Blvd
Baton Rouge, LA 70805
Phone (225) 925-1906

1056 E Worthy St
Ste B
Gonzales, LA 70737
Phone (225) 621-5770

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1790964955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19934 PECAN HILL DR",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707915363",
            "telephone_number": "225-305-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 WOODDALE BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708057567",
            "telephone_number": "225-922-1414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19934 Pecan Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Zachary",
            "state": "LA",
            "postal_code": "707915363",
            "country_code": "US",
            "telephone_number": "225-305-6184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODRIDGE",
        "first_name": "LAYNEETHIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-24",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "9950",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "9950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.