Active NPI
Letisha Dewane Spears
- Social Worker
- Baton Rouge, LA
National Provider Identifier
1912597113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 9885
- Practice address
- 628 N 4TH St
Baton Rouge, LA 70802-5342 - Phone
- (225) 342-8489
- NPI assigned
- Jan 21, 2021
- Last updated
- Jan 21, 2021
- 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 | 9885 | LA | Primary |
Addresses
Primary practice location
628 N 4TH St
Baton Rouge, LA 70802-5342
Mailing address
3693 Edgemont Dr
Baton Rouge, LA 70814-4826
Phone (225) 218-5600
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 |
|---|---|---|---|
| 9885 | LA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1912597113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3693 EDGEMONT DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708144826",
"telephone_number": "225-218-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "628 N 4TH ST",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708025342",
"telephone_number": "225-342-8489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEARS",
"first_name": "LETISHA",
"middle_name": "DEWANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-21",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "9885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
- Branesha Spears
- Charles Lee Spears III
- Chiquita Marie-Bennett Spears, RN, BSN
- Erica Spears
- Karen Spears
- Makya Spears
- Malaya Spears
- Special Care Services of Louisiana Inc (Precision Caregivers)
- Special Care Services of Louisiana, Inc (Precision Caregivers)
- Special Care Services of Louisiana, Inc (Precision Caregivers)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.