Active NPI
Jacqueline Porter, LMSW
- Social Worker
- Baton Rouge, LA
National Provider Identifier
1871065086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 12456
- Practice address
- 8325 Kelwood Ave
Baton Rouge, LA 70806-4804 - Phone
- (225) 239-5498
- Fax
- (225) 239-5543
- NPI assigned
- Dec 28, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 12456 | LA | Primary |
Addresses
Primary practice location
8325 Kelwood Ave
Baton Rouge, LA 70806-4804
Mailing address
1340 Monterrey Blvd
Baton Rouge, LA 70815-1044
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12456 | LA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545955200000",
"number": "1871065086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 MONTERREY BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708151044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8325 KELWOOD AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708064804",
"telephone_number": "225-239-5498",
"fax_number": "225-239-5543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "JACQUELINE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-28",
"last_updated": "2018-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "12456",
"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 Dec 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.