Active NPI
Kelley Prescott, LCSW
- Clinical Social Worker
- Baton Rouge, LA
National Provider Identifier
1962174094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4678
- Practice address
- 4278 Cypress St
Baton Rouge, LA 70808-3801 - Phone
- (225) 229-7330
- NPI assigned
- Sep 28, 2021
- 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 | 4678 | LA | Primary |
Addresses
Primary practice location
4278 Cypress St
Baton Rouge, LA 70808-3801
Mailing address
4278 Cypress St
Baton Rouge, LA 70808-3801
Phone (225) 229-7330
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | buzzybeeday@gmail.com |
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 |
|---|---|---|---|
| 4678 | LA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1962174094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4278 CYPRESS ST",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708083801",
"telephone_number": "225-229-7330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4278 CYPRESS ST",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708083801",
"telephone_number": "225-229-7330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESCOTT",
"first_name": "KELLEY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-28",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "4678",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "buzzybeeday@gmail.com",
"affiliation": "N",
"address_1": "4278 Cypress St",
"city": "Baton Rouge",
"state": "LA",
"country_code": "US",
"postal_code": "708083801",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 28, 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.