GRIEF RECOVERY CENTER (NPI# 1407079163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407079163 |
| Entity Type | Organization |
| Organization Name | GRIEF RECOVERY CENTER |
| Practice Address |
4919 Jamestown Ave Suite 102 Baton Rouge LA 70808-3228 |
| Practice Telephone | 2259246621 |
| Practice Fax Number | 2259246627 |
| Mailing Telephone | 2259246621 |
| Mailing Fax Number | 2259246627 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KATHY R VILAS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2259246621 |
| Authorized Official Credential | MCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1041C0700X | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518379833 | Grief Recovery Center | Social Worker | 4939 Jamestown Ave, Suite 101, Baton Rouge, LA 70808-3229 | 2014-05-21 |
| 1972778512 | Grief Recovery Center | Counselor | 4919 Jamestown Ave Ste 101, Baton Rouge, LA 70808-3228 | 2008-04-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | GRIEF RECOVERY CENTER OF OREGON, LLC | 2701 12th Street, Salem, OR 97302 |
| Street Address |
4919 JAMESTOWN AVE SUITE 102 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70808-3228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376640243 | Patricia A. Toups | Psychiatry & Neurology | 4919 Jamestown Ave, Ste 101, Baton Rouge, LA 70808-3228 | 2006-09-20 |
| 1245600295 | Connecting Conceptual Constructs, Inc | Case Management | 4919 Jamestown Ave, Suite 104, Baton Rouge, LA 70808-3228 | 2015-10-02 |
| 1902152523 | Gretchen Schneider Burton | Counselor | 4919 Jamestown Ave, Suite 201-e, Baton Rouge, LA 70808-3228 | 2012-08-01 |
| 1417223579 | Dana C Booth | Counselor | 4919 Jamestown Ave, Suite 101, Baton Rouge, LA 70808-3228 | 2012-03-22 |
| 1831402601 | Ramon Roberto Lopez | Counselor | 4919 Jamestown Ave, Suite 101, Baton Rouge, LA 70808-3228 | 2010-07-21 |
| 1780907816 | Care One Health LLC | In Home Supportive Care | 4919 Jamestown Ave, Suite 201b, Baton Rouge, LA 70808-3228 | 2010-03-03 |
| 1306168612 | Care One Health LLC | In Home Supportive Care | 4919 Jamestown Ave, Suite 201b, Baton Rouge, LA 70808-3228 | 2010-02-28 |
| 1255664157 | Mary Ann Abel | Counselor | 4919 Jamestown Ave, Suite 101, Baton Rouge, LA 70808-3228 | 2009-09-09 |
| 1033325121 | Peggy Broussard | Counselor | 4919 Jamestown Ave, Suite 102, Baton Rouge, LA 70808-3228 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313161 | Leah Michelle Dlugolecki | Student in an Organized Health Care Education/Training Program | Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2020-03-31 |
| 1003376302 | Kristina Pham | Student in an Organized Health Care Education/Training Program | 5246 Brittany Drive, 3rd Floor, Baton Rouge, LA 70808 | 2019-03-22 |
| 1083174486 | John Jay Hogan | Student in an Organized Health Care Education/Training Program | Lsu Emergency Medicine Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2019-03-21 |
| 1033682075 | Joseph Bertell Davis Jr. | Case Manager/Care Coordinator | 2460 College Drive, Baton Rouge, LA 70808 | 2019-01-02 |
| 1508340886 | Jennifer Miatech | Student in an Organized Health Care Education/Training Program | 8585 Picardy Ave., Medical Tower 2, Baton Rouge, LA 70808 | 2018-09-21 |
| 1700389137 | Jenee Robins | Case Manager/Care Coordinator | 2100 College Dr Apt 159, Baton Rouge, LA 70808 | 2018-03-12 |
| 1952812893 | Da Vonna Dents | Behavioral Analyst | 418 Stoney Creek Ave, Baton Rouge, LA 70808 | 2017-10-18 |
| 1962925669 | Katharine Elizabeth Blum | Counselor | 7936 Wrenwood Blvd. Ste A, Baton Rouge, LA 70808 | 2017-07-25 |
| 1801316120 | Amie Jackson | Social Worker | 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 | 2017-06-27 |
| 1235660713 | Melissa A Eddy-shelby | Student in an Organized Health Care Education/Training Program | 5000 Hennessy Blvs, Suite 6004, Baton Rouge, LA 70808 | 2017-03-25 |
| Find all providers in zip 70808 | ||||
| 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 |
|---|---|---|---|---|
| 1447851829 | Dana Deshun Thomas Burrell | Social Worker | 3025 Seracedar Dr, Baton Rouge, LA 70816-2071 | 2020-11-03 |
| 1538769187 | Patrick Morris | Social Worker | 1106 Maximillian St, Baton Rouge, LA 70802-6551 | 2020-10-31 |
| 1669097994 | Marnie Kogos | Social Worker | 15604 Confederate Ave, Baton Rouge, LA 70817-3613 | 2020-06-12 |
| 1154945996 | Anne Catherine Seemann | Social Worker | 8714 Jefferson Hwy Ste A, Baton Rouge, LA 70809-2002 | 2020-06-07 |
| 1598389041 | Amanda Brooke Allen | Social Worker | 349 Glenmore Ave, Baton Rouge, LA 70806-5217 | 2020-06-01 |
| 1033742143 | Derrick A Taylor | Social Worker | 2575 Farrar St, Baton Rouge, LA 70805-3953 | 2020-02-17 |
| 1821635244 | Anwar Keith Francis | Social Worker | 3000 July St Apt 1116, Baton Rouge, LA 70808-2079 | 2019-12-04 |
| 1083258164 | Elizabeth Roberts LLC | Social Worker | 5160 S Sherwood Frst Ste A, Baton Rouge, LA 70816-4898 | 2019-11-01 |
| 1477104727 | Purpose Counseling and Mental Health Services, LLC | Social Worker | 11011 Cal Rd Apt 94, Baton Rouge, LA 70809-2873 | 2019-09-26 |
| 1124677562 | Debra Hack Barnett | Social Worker | 13675 Coursey Blvd Apt 518, Baton Rouge, LA 70817-1349 | 2019-09-09 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70808 |
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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.