Active NPI
Jayme Liles, LCSW
- Clinical Social Worker
- Lafayette, LA
National Provider Identifier
1871141663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12850
- Practice address
- 850 Kaliste Saloom Rd Ste 116
Lafayette, LA 70508-4230 - Phone
- (337) 247-4370
- NPI assigned
- Aug 27, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12850 | LA | Primary |
Addresses
Primary practice location
850 Kaliste Saloom Rd Ste 116
Lafayette, LA 70508-4230
Mailing address
502 Woodvale Ave
Lafayette, LA 70503-3436
Phone (337) 247-4379
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191021000398 | LA | Practitioner - Clinical Social Worker | 3274864442 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
850 Kaliste Saloom Rd
Suite 116
Lafayette, LA 70508-4230
Phone (337) 247-4370
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12850 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jayme Liles LLC | Clinical | Current | Accepting new patients |
Locations
2020 W Pinhook Rd
Ste 401
Lafayette, LA 70508
Phone (337) 257-3522
850 Kaliste Saloom Rd
Ste 116
Lafayette, LA 70508
Phone (337) 247-4370
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1871141663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 WOODVALE AVE",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705033436",
"telephone_number": "337-247-4379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 KALISTE SALOOM RD STE 116",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705084230",
"telephone_number": "337-247-4370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILES",
"first_name": "JAYME",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-27",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "12850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.