DARRELL JEFFERSON JR. (NPI# 1265063390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265063390 |
| Entity Type | Individual |
| Full Name | DARRELL JEFFERSON JR. |
| Credential | BA |
| Practice Address |
908 W Judge Perez Dr Chalmette LA 70043-4773 |
| Mailing Address |
Po Box 422 Saint Rose LA 70087-0422 |
| Practice Telephone | 5043245298 |
| Practice Fax Number | 5045560949 |
| Mailing Telephone | 5044623204 |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
908 W JUDGE PEREZ DR |
| City | CHALMETTE |
| State | LA |
| Zip Code | 70043-4773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225459696 | Nicole Crowden | Social Worker | 908 W Judge Perez Dr, Suite D, Chalmette, LA 70043-4773 | 2014-01-02 |
| 1730615113 | Dwayne West | Counselor | 908 W Judge Perez Dr, Suite C, Chalmette, LA 70043-4773 | 2017-05-04 |
| 1871027060 | Kia Hunter | Counselor | 908 W Judge Perez Dr, Suite C, Chalmette, LA 70043-4773 | 2017-04-14 |
| 1073047577 | Tambra Douglas | Counselor | 908 W Judge Perez Dr, Suite C, Chalmette, LA 70043-4773 | 2017-04-12 |
| 1952849267 | Amber Pelrean | Counselor | 908 W Judge Perez Dr, Suite C, Chalmette, LA 70043-4773 | 2017-02-07 |
| 1356884944 | Danielle Williams | Counselor | 908 W Judge Perez Dr, Suite C, Chalmette, LA 70043-4773 | 2016-11-30 |
| 1619410784 | Cordelia Blazio | Counselor | 908 W Judge Perez Dr, Suite C, Chalmette, LA 70043-4773 | 2016-11-22 |
| 1760924914 | Kevyn Lewis | Counselor | 908 W Judge Perez Dr, Suite C, Chalmette, LA 70043-4773 | 2016-11-04 |
| 1497207716 | John Walker Jr. | Counselor | 908 W Judge Perez Dr, Suite C, Chalmette, LA 70043-4773 | 2016-11-03 |
| 1003269317 | Latoya Armstrong | Counselor | 908 W Judge Perez Dr, Suite C, Chalmette, LA 70043-4773 | 2016-07-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396235644 | Alyza Dacula | Behavioral Analyst | 2909 Pecan Dr, Chalmette, LA 70043 | 2018-05-12 |
| 1477054856 | Ricci Jean Mcdaniel | Physical Therapy Assistant | 2421 Fenelon St., Chalmette, LA 70043 | 2018-02-22 |
| 1811495971 | Gwendolyn Ann Hill | Home Health | 3517 Golden Dr. Apt C, 3517 Golden Dr. Apt C, Chalmett, LA 70043 | 2018-01-24 |
| 1669990347 | Kelly E Hessel | Counselor | 3517 Lyndell Dr, Chalmette, LA 70043 | 2017-09-01 |
| 1841717444 | Idrissa Karon Lipscomb | Counselor | 2201 Pirate Dr, Chalmette, LA 70043 | 2017-08-24 |
| 1518496819 | Amanda C. Offner | Nurse Practitioner | 8050 W Judge Perez Dr Ste 3100, Chalmette, LA 70043 | 2017-06-08 |
| 1770019465 | Amber Kirsten Richards | Counselor | 2420 Corinne Dr, Chalmette, LA 70043 | 2017-05-02 |
| 1568903540 | Ashley James | Counselor | 908 W. Judge Perez Dr., Suite C, Chalmette, LA 70043 | 2017-03-10 |
| 1790232817 | Fresenius Medical Care Chalmette, LLC | Clinic/Center | 3027 Jean Lafitte Pkwy, Chalmette, LA 70043 | 2016-09-07 |
| 1023464260 | Ingrid Adams | Case Manager/Care Coordinator | 909 E. Josephine St, Chalmette, LA 70043 | 2016-05-06 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073178158 | Terel Matteal Santiago | Case Manager/Care Coordinator | 2626 Charles Dr Ste 8, Chalmette, LA 70043-3779 | 2019-05-05 |
| 1700357142 | Shanik Brown | Case Manager/Care Coordinator | 700 W Judge Perez Dr # 103204, Chalmette, LA 70043-4870 | 2018-12-11 |
| 1982180436 | James H Obanion | Case Manager/Care Coordinator | 61 Phillip Ct, Chalmette, LA 70043-1715 | 2018-07-18 |
| 1023464260 | Ingrid Adams | Case Manager/Care Coordinator | 909 E. Josephine St, Chalmette, LA 70043 | 2016-05-06 |
| 1861852048 | Alethea L Simms | Case Manager/Care Coordinator | 3222 Pakenham Dr, Chalmette, LA 70043-2914 | 2016-03-01 |
| 1023473253 | Monique Handy | Case Manager/Care Coordinator | 2626 Charles Dr Ste C, Chalmette, LA 70043-3779 | 2015-12-14 |
| 1982249470 | Tiffany Shante Johnson | Case Manager/Care Coordinator | 908 W Judge Perez Dr Ste C, Chalmette, LA 70043-4773 | 2019-11-08 |
| 1720621931 | Katrina Ashley Bell | Case Manager/Care Coordinator | 2626 Charles Dr Ste 211, Chalmette, LA 70043-3779 | 2019-10-21 |
| 1578105557 | Aulonka Donyell Davis | Case Manager/Care Coordinator | 2626 Charles Dr, Chalmette, LA 70043-3779 | 2019-10-11 |
| 1568020600 | Andrea Monique May-fiorella | Case Manager/Care Coordinator | 2626 Charles Dr, Chalmette, LA 70043-3779 | 2019-06-04 |
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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.