JESSICA L BRAYDEN (NPI# 1336347368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336347368 |
| Entity Type | Individual |
| Full Name | JESSICA L BRAYDEN |
| Credential | MSW |
| Practice Address |
4336 North Blvd Ste 201 Baton Rouge LA 70806-3920 |
| Mailing Address |
5959 S Sherwood Forest Blvd Baton Rouge LA 70816-6038 |
| Practice Telephone | 2253439505 |
| Practice Fax Number | 2254905482 |
| Mailing Telephone | 2255260001 |
| Mailing Fax Number | 2257659196 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 1041S0200X |
Social Worker Specialization: School |
9826 | LA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4615 Government St, Building 2, Baton Rouge, LA 708065820 | 2259251906 | 2259251972 |
| Street Address |
4336 NORTH BLVD STE 201 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-3920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871960658 | Christi Hodges | Registered Nurse | 4336 North Blvd Ste 201, Baton Rouge, LA 70806-3920 | 2015-08-27 |
| 1275963548 | Anisha Nelson | Social Worker | 4336 North Blvd Ste 201, Baton Rouge, LA 70806-3920 | 2013-11-22 |
| 1932537024 | Mary Ann Burnett | Registered Nurse | 4336 North Blvd Ste 201, Baton Rouge, LA 70806-3920 | 2013-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
| 1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
| Find all providers in zip 70806 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437525888 | Manda Shae Brown | Social Worker | 8676 Goodwood Blvd Suite 105, Alternate Therapeutic Solutions, LLC, Baton Rouge, LA 70806-7900 | 2015-08-19 |
| 1326471004 | Pyrannes Holmes | Social Worker | 12269 N Lakeview Dr, Baton Rouge, LA 70810-4628 | 2013-08-16 |
| 1265704175 | Sharon Patrick Wetherford | Social Worker | 4436 North Blvd. Ste.201, Baton Rouge, LA 70806 | 2012-02-08 |
| 1447522156 | Deven M Forbes-richard | Social Worker | 10554 Big Bend Ave, Baton Rouge, LA 70814-4804 | 2012-01-27 |
| 1689945487 | Giving Tree Counseling Services, LLC | Social Worker | 8235 Ymca Plaza Drive, Suite 402, Baton Rouge, LA 70810-0939 | 2012-01-25 |
| 1780812826 | Judy Ann Edwards | Social Worker | 9880 Hyacinth Ave Rm 9, Baton Rouge, LA 70810-2433 | 2009-06-28 |
| 1326220021 | Ashley L Barton | Social Worker | 1819 Florida Blvd, Baton Rouge, LA 70802-3843 | 2007-12-04 |
| 1992213094 | Jasmine Sholes | Social Worker | 4615 Government St Bldg 1, Baton Rouge, LA 70806-5922 | 2018-01-11 |
| 1003330606 | Amanda L. Cloyd | Social Worker | 4615 Government St Bldg 1, Baton Rouge, LA 70806-5922 | 2017-07-26 |
| 1841714466 | Deshawnna J Hitchens | Social Worker | 4615 Government St, Baton Rouge, LA 70806-5922 | 2017-07-26 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
Please comment or provide details below to improve the information on JESSICA L BRAYDEN.
| 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.