Active NPI
Jenny Prejean, LCSW
- Specialist
- Lafayette, LA
National Provider Identifier
1992088454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 4532
- Practice address
- 1211 Coolidge Blvd
Ste 100
Lafayette, LA 70503-2636 - Phone
- (337) 289-8400
- Fax
- (337) 289-8401
- NPI assigned
- Sep 21, 2011
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 4532 | LA | Primary |
Addresses
Primary practice location
1211 Coolidge Blvd
Ste 100
Lafayette, LA 70503-2636
Mailing address
PO Box 62600
Dept 1721
New Orleans, LA 70162-2600
Phone (337) 706-1605
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 |
|---|---|---|---|
| 4532 | LA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316563200000",
"number": "1992088454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 62600",
"address_2": "DEPT 1721",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701622600",
"telephone_number": "337-706-1605",
"fax_number": "337-981-9257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 COOLIDGE BLVD",
"address_2": "STE 100",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032636",
"telephone_number": "337-289-8400",
"fax_number": "337-289-8401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREJEAN",
"first_name": "JENNY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-21",
"last_updated": "2011-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "4532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.