JARVIS GERARD SHANKLIN (NPI# 1093094617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093094617 |
| Entity Type | Individual |
| Full Name | JARVIS GERARD SHANKLIN |
| Credential | LCSW |
| Practice Address |
3135 Highway 1 Raceland LA 70394-3652 |
| Mailing Address |
Po Box 5022 Thibodaux LA 70302-5022 |
| Practice Telephone | 9854132280 |
| Mailing Telephone | 9854132280 |
| Enumeration Date | 2011-08-13 |
| Last Update Date | 2015-01-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6014 | LA | Behavioral Health & Social Service Providers |
| Street Address |
3135 HIGHWAY 1 |
| City | RACELAND |
| State | LA |
| Zip Code | 70394-3652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639365638 | Patricia Perry | Social Worker | 3135 Highway 1, Raceland, LA 70394-3652 | 2007-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598221798 | Caitlin Morris Bacon | Registered Nurse | 4244 Highway 1, Raceland, LA 70394 | 2019-02-13 |
| 1326571597 | Kakeisha Harris | Counselor | 144 Colvan St, Raceland, LA 70394 | 2017-04-05 |
| 1023468774 | Denise Taylor | Counselor | 4075 Hwy 1, Raceland, LA 70394 | 2016-06-14 |
| 1023471133 | Aubrey Orgeron | Psychiatry & Neurology | 111 Twin Oaks Dr., Raceland, LA 70394 | 2016-04-05 |
| 1114383239 | Michelle Rabb | Counselor | 3821 Hwy 1, Raceland, LA 70394 | 2016-01-05 |
| 1508221979 | Renisha Cecilia Oubre | Counselor | 3821 Highway 1, Raceland, LA 70394 | 2015-12-29 |
| 1922463983 | Kiaria Gray | Case Manager/Care Coordinator | 3821 La-1, Raceland, LA 70394 | 2015-12-17 |
| 1285068098 | Don A Falgout | Nurse Anesthetist, Certified Registered | 4608 Hwy 1, Raceland, LA 70394 | 2013-08-28 |
| 1215211933 | Dalton Joseph Boudreaux Jr. | Pharmacist | 4572 Hwy One, Raceland, LA 70394 | 2011-09-29 |
| 1790065746 | Cheri Lasseigne | Chiropractor | 108 Acadia Dr., Raceland, LA 70394 | 2011-08-23 |
| Find all providers in zip 70394 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639365638 | Patricia Perry | Social Worker | 3135 Highway 1, Raceland, LA 70394-3652 | 2007-09-24 |
| 1780242297 | Julie Beard | Social Worker | 157 Twin Oaks Dr, Raceland, LA 70394-2761 | 2019-05-30 |
| 1720367345 | Dawn Nugel Campbell | Social Worker | 4608 Highway 1, Raceland, LA 70394-2623 | 2011-08-13 |
| 1164436499 | Deanie J Soignier | Social Worker | 157 Twin Oaks Dr, Raceland, LA 70394-2761 | 2006-07-29 |
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|---|---|---|---|---|
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| 1194325407 | Worlita L. Williams | Social Worker | 510 Rea St, Mansfield, LA 71052-2142 | 2020-10-27 |
| 1588263099 | Magnolia Wellness, LLC | Social Worker | 5689a Commerce Street, St. Francisville, LA 70775 | 2020-10-26 |
| 1366040370 | Katherine Hebert | Social Worker | 108 Lake St, Abbeville, LA 70510-6503 | 2020-10-12 |
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| 1326655051 | Tina Simon Grice | Social Worker | 2820 Athania Pkwy Ste 1, Metairie, LA 70002-5981 | 2020-09-27 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.