MR. KENDRICK M. EBANKS (NPI# 1467885327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467885327 |
| Entity Type | Individual |
| Full Name | MR. KENDRICK M. EBANKS |
| Credential | LMSW |
| Practice Address |
4560 North Blvd Suite 102 B Baton Rouge LA 70806-4043 |
| Practice Telephone | 2259559527 |
| Practice Fax Number | 2259264713 |
| Mailing Telephone | 2259559527 |
| Mailing Fax Number | 2259264713 |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-08-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6958 | LA | Behavioral Health & Social Service Providers |
| Street Address |
4560 NORTH BLVD SUITE 102 B |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-4043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831196096 | Joni Ferguson Nickens | Nurse Practitioner | 4560 North Blvd, Ste 101, Baton Rouge, LA 70806-4043 | 2005-07-03 |
| 1457716151 | Kristy Leigh Dibble | Nurse Practitioner | 4560 North Blvd, Suite 108, Baton Rouge, LA 70806-4043 | 2015-12-22 |
| 1912372319 | Bridget Suire | Social Worker | 4560 North Blvd, Suite 101, Baton Rouge, LA 70806-4043 | 2015-12-10 |
| 1285045633 | Karen Weston | Pharmacist | 4560 North Blvd, Ste 102, Baton Rouge, LA 70806-4043 | 2014-05-19 |
| 1053529727 | Michael Edward Hymbaugh | Internal Medicine | 4560 North Blvd, Ste 101, Baton Rouge, LA 70806-4043 | 2007-05-18 |
| 1336364652 | Irby Dupont | Optometrist | 4560 North Blvd, Baton Rouge, LA 70806-4043 | 2007-04-13 |
| 1760503924 | Yolanda Alexander Dunbar-johnson | Social Worker | 4560 North Blvd, Suite 104, Baton Rouge, LA 70806-4043 | 2007-04-03 |
| 1053452912 | Diabetes Express Supply Co | Durable Medical Equipment & Medical Supplies | 4560 North Blvd, Suite 102, Baton Rouge, LA 70806-4043 | 2007-02-12 |
| 1982754289 | Advanced Comprehensive Testing Inc | Clinical Nurse Specialist | 4560 North Blvd, Suite 115, Baton Rouge, LA 70806-4043 | 2007-01-11 |
| 1326122987 | Louisiana Express Pharmacy | Pharmacy | 4560 North Blvd, Suite 102, Baton Rouge, LA 70806-4043 | 2006-10-24 |
| Find all providers in the same location | ||||
| 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 | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514231 | Keshia Nicole Roberson | Social Worker | 7424 Chairman Ave, Baton Rouge, LA 70817-5352 | 2020-10-01 |
| 1083228647 | Kacey Elizabeth Ardoin | Social Worker | 10202 Perkins Rowe Apt 3022, Baton Rouge, LA 70810-8203 | 2020-09-01 |
| 1609489368 | Taneia Mikelle Smith | Social Worker | 2888 Dougherty Dr Apt 55, Baton Rouge, LA 70805-7006 | 2020-08-24 |
| 1760018030 | Brelyn Howard | Social Worker | 2347 Horace St, Baton Rouge, LA 70808-1446 | 2020-03-19 |
| 1679049472 | Kayla Stewart | Social Worker | 2320 Drusilla Ln Ste A, Baton Rouge, LA 70809-1495 | 2018-10-18 |
| 1356820054 | Ashley Wheeler | Social Worker | 1761 Physicians Blvd., Baton Rouge, LA 70816 | 2018-08-13 |
| 1871018028 | Bridget Trufant | Social Worker | 1200 S. Acadian Thwy, Baton Rouge, LA 70806 | 2017-08-09 |
| 1801316120 | Amie Jackson | Social Worker | 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 | 2017-06-27 |
| 1265952873 | Lynn Persica Cannon | Social Worker | 923 Executive Park Ave Ste 12, Baton Rouge, LA 70806-2000 | 2017-06-24 |
| 1306375738 | Raven Turner | Social Worker | 1120 Spanish Town Rd, 108, Baton Rouge, LA 70802 | 2017-06-08 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
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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.