Individual provider Active NPI

Jayme Liles, LCSW

  • Clinical Social Worker
  • Lafayette, LA
National Provider Identifier
1871141663
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12850 Issued in LA
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

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
12850LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jayme Liles LLC Clinical CurrentSince Sep 18, 2019 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

Verify at the official NPI Registry.