Department of Health and Hospitals

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 4518 Issued in LA

Legal business name

DEPARTMENT OF HEALTH AND HOSPITALS

Practice address

602 E Georgia Ave
Ruston, LA 71270-3931

Phone

(318) 251-4125

Fax

(318) 251-5000

NPI assigned

Apr 20, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Phyllis Jerri Parks, MSW

Title

Oad/Regional Administrator

Phone

(318) 362-3270

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• OBH-Ruston Addictive Disorders Clinic Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Department of Health and Hospitals

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lafayette, LA
  • NPI 1023162096

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1962468819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 E GEORGIA AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703931",
            "telephone_number": "318-251-4125",
            "fax_number": "318-251-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 E GEORGIA AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703931",
            "telephone_number": "318-251-4125",
            "fax_number": "318-251-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF HEALTH AND HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "JERRI",
        "authorized_official_title_or_position": "OAD/REGIONAL ADMINISTRATOR",
        "authorized_official_telephone_number": "318-362-3270",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "880",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "CAC1223",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "RAC1224",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "LCSW 4518",
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "LA",
            "license": "MD010285",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSLA",
            "identifier": "H2376",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OBH-Ruston Addictive Disorders Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shermesia Dean
• Eric Deemer, PH.D.
• Delta Genetic Counseling, LLC
• Department of Health and Hospitals
• Department of Health and Hospitals
• Brittany Diez
• Dillingham Optical of Ruston, Inc
• Andrea D Dillon
• Layne Dishman
• Christina Dison

• Clinical Social Worker in Ruston, LA
• Providers in Ruston, 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 Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.