SOCIAL WORK PROFESSIONAL SERVICES, LLC (NPI# 1134571912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134571912 |
| Entity Type | Organization |
| Organization Name | SOCIAL WORK PROFESSIONAL SERVICES, LLC |
| Practice Address |
2219 Claiborne Ave Shreveport LA 71103-4301 |
| Practice Telephone | 3184648113 |
| Mailing Telephone | 3184648113 |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-07-06 |
| Authorized Official Name | MRS. LARIANA ALEXIS GRAHAM-TAYLOR (OWNER/MEMBER) |
| Authorized Official Telephone | 3184648113 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | LA | Agencies |
| Street Address |
2219 CLAIBORNE AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-4301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679797286 | Armanda Y. Whitaker I | Counselor | 2219 Claiborne Ave, Shreveport, LA 71103-4301 | 2007-04-13 |
| 1134727704 | Ida Natasha Henderson | Case Manager/Care Coordinator | 2219 Claiborne Ave, Shreveport, LA 71103-4301 | 2020-10-15 |
| 1770100851 | Courtney Ukpabi | Case Manager/Care Coordinator | 2219 Claiborne Ave, Shreveport, LA 71103-4301 | 2020-07-06 |
| 1730713587 | Peggy B Mahoney-clark | Case Manager/Care Coordinator | 2219 Claiborne Ave, Shreveport, LA 71103-4301 | 2020-03-01 |
| 1396208088 | Kulicia Anderson | Case Manager/Care Coordinator | 2219 Claiborne Ave, Shreveport, LA 71103-4301 | 2019-04-09 |
| 1194294660 | Lisa Jones Battle | Case Manager/Care Coordinator | 2219 Claiborne Ave, Shreveport, LA 71103-4301 | 2018-11-14 |
| 1679051957 | Tasha Simpson | Social Worker | 2219 Claiborne Ave, Shreveport, LA 71103-4301 | 2018-07-30 |
| 1861978736 | Jutina Latson-cole | Social Worker | 2219 Claiborne Ave, Shreveport, LA 71103 | 2018-07-13 |
| 1407341746 | Shakisha Moore | Social Worker | 2219 Claiborne Ave, Shreveport, LA 71103-4301 | 2018-06-28 |
| 1457852014 | Jacqueline Wilson | Social Worker | 2219 Claiborne Ave, Shreveport, LA 71103-4301 | 2018-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124887 | Elizabeth Ponder | Case Manager/Care Coordinator | 404 Hearne Avenue, Shreveport, LA 71103 | 2017-10-05 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1336568823 | Taylor Jieun Jung | Student in an Organized Health Care Education/Training Program | Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 | 2014-04-10 |
| 1578984746 | Jamie Terrell | Pharmacist | 1625 Claiborne Ave, Shreveport, LA 71103 | 2013-12-13 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1346527330 | Tim M Smith | Clinical Exercise Physiologist | 3200 Greenwood Rd., Shreveport, LA 71103 | 2011-11-04 |
| 1144451683 | Second Chance Recovery | Durable Medical Equipment & Medical Supplies | 3816 Linwood, Shreveport, LA 71103 | 2009-07-31 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| Find all providers in zip 71103 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558926113 | Renew Therapeutic Services, LLC | Community/Behavioral Health | 2924 Knight St Ste 424, Shreveport, LA 71105-2413 | 2019-05-08 |
| 1053818641 | Agape Love Counseling Service LLC | Community/Behavioral Health | 1513 Line Ave Ste 240, Shreveport, LA 71101-4621 | 2018-04-10 |
| 1851891865 | Magnolia Mental Health LLC | Community/Behavioral Health | 7629 Pines Rd, Shreveport, LA 71129-3905 | 2018-02-15 |
| 1891202776 | Allcare of Louisiana, Inc. | Community/Behavioral Health | 4615 Monkhouse Dr Ste 116, Shreveport, LA 71109-6123 | 2018-01-02 |
| 1467979708 | Finding A Better Me | Community/Behavioral Health | 2924 Knight St Ste 420, Shreveport, LA 71105-2413 | 2017-08-28 |
| 1518495779 | Bridges To Recovery, LLC | Community/Behavioral Health | 7607 Fern Ave Ste 902-903, Shreveport, LA 71105-5739 | 2017-05-31 |
| 1790210805 | Acenter for Hope and Change | Community/Behavioral Health | 6811 Sagewood Dr, Shreveport, LA 71129-9423 | 2017-04-26 |
| 1497289979 | Serenity Behavioral Health Service LLC | Community/Behavioral Health | 2000 Creswell Ave, Shreveport, LA 71104-2202 | 2017-04-12 |
| 1699212696 | Shenells | Community/Behavioral Health | 2120 N Hearne Ave Apt 403, Shreveport, LA 71107-7183 | 2017-01-27 |
| 1669918199 | Street Outreach Solutions,llc | Community/Behavioral Health | 2715 Mackey Pl Ste 119, Shreveport, LA 71118-2527 | 2017-01-08 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
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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.