Tonja Jackson, LCSW-BACS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4487 Issued in LA

Practice address

908 W Judge Perez Dr
Suite D
Chalmette, LA 70043-4773

Phone

(504) 453-7698

NPI assigned

Jul 10, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tonja Chopfield-Jackson Professional name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Social Work Agency, LLC

  • Clinical Social Worker
  • Chalmette, LA
  • NPI 1427434869
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1922482843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 OAK DR",
            "city": "VIOLET",
            "state": "LA",
            "postal_code": "700923734",
            "telephone_number": "504-261-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 W JUDGE PEREZ DR",
            "address_2": "SUITE D",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700434773",
            "telephone_number": "504-453-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "TONJA",
        "credential": "LCSW-BACS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "4487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONJA",
            "last_name": "CHOPFIELD-JACKSON",
            "credential": "LCSW-BACS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Infinity Eight
• Inspire Care Adult Day Health Care
• Inspire Care LLC
• Saliha Ishaq, MD
• Crystal J Jackson
• Lashaunda Jacob-Davis
• James L. Shoemaker, Apcc
• Ashley James
• Lesichia Monteal Jarrell, D.C.
• Payten Jason

• Clinical Social Worker in Chalmette, LA
• Providers in Chalmette, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.