Organization Active NPI

Rebuilding Dreams and Empowering Change

  • Clinical Social Worker
  • New Orleans, LA
National Provider Identifier
1851089460
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
REBUILDING DREAMS AND EMPOWERING CHANGE
Practice address
303 S Broad St FL 3
New Orleans, LA 70119-6415
Phone
(504) 909-7376
NPI assigned
May 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Kimberly Jhan Parker, MSW, LCSW-BACSNPI 1457737645
Title
Owner
Phone
(504) 909-7376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

303 S Broad St FL 3
New Orleans, LA 70119-6415

Mailing address

303 S Broad St FL 3
New Orleans, LA 70119-6415
Phone (504) 909-7376

National Provider Directory

National Provider Directory

Locations

303 S Broad St
Fl 3
New Orleans, LA 70119
Phone (504) 909-7376

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1851089460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S BROAD ST FL 3",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196415",
            "telephone_number": "504-909-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S BROAD ST FL 3",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196415",
            "telephone_number": "504-909-7376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBUILDING DREAMS AND EMPOWERING CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "JHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-909-7376",
        "authorized_official_credential": "MSW, LCSW-BACS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.