SHENQUIE JACKSON (NPI# 1598118705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598118705 |
| Entity Type | Individual |
| Full Name | SHENQUIE JACKSON |
| Practice Address |
1520 Thomas H Delpit Dr Ste 125 Baton Rouge LA 70802 |
| Mailing Address |
1520 Thomas H Delpit Dr Ste 125 Baton Rouge LA 70802-6626 |
| Practice Telephone | 2256362395 |
| Practice Fax Number | 2259602984 |
| Mailing Telephone | 2256362395 |
| Mailing Fax Number | 2259602984 |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2018-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LA | Behavioral Health & Social Service Providers | |
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1520 THOMAS H DELPIT DR STE 125 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881113801 | Mason D Ceasar | Counselor | 1520 Thomas H Delpit Dr Ste 219, Baton Rouge, LA 70802 | 2017-09-11 |
| 1508389800 | Arlette Henderson | Counselor | 4776 Adams Street, Baton Rouge, LA 70802 | 2017-07-19 |
| 1306375738 | Raven Turner | Social Worker | 1120 Spanish Town Rd, 108, Baton Rouge, LA 70802 | 2017-06-08 |
| 1528597176 | Maya Harvey | Case Manager/Care Coordinator | 1520 Thomas H Delpit, Baton Rouge, LA 70802 | 2017-06-07 |
| 1124554324 | Heart & Key Transportation, LLC | Non-emergency Medical Transport (VAN) | 1716 North 18th Street, Baton Rouge, LA 70802 | 2017-05-08 |
| 1730628769 | Abriel Hunter | Counselor | 3173 Washington Ave., Baton Rouge, LA 70802 | 2017-02-23 |
| 1528506284 | Brennan Manning | Counselor | 1520 Thomas Delpit St., Baton Rouge, LA 70802 | 2017-02-02 |
| 1124570163 | Ty Hightower | Counselor | 1520 Thomas Delpit, Baton Rouge, LA 70802 | 2016-10-25 |
| 1386190924 | Callesha Lashawn Young | Counselor | 1539 North 23rd Street, Baton Rouge, LA 70802 | 2016-09-01 |
| 1285007997 | Elnita Plain | Counselor | 746 North 19th Street, Baton Rouge, LA 70802 | 2015-11-03 |
| Find all providers in zip 70802 | ||||
| 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 |
|---|---|---|---|---|
| 1992305023 | Deonna Hawkins Jackson | Case Manager/Care Coordinator | 17616 Heritage Estates Dr, Baton Rouge, LA 70810-6579 | 2020-10-28 |
| 1306445713 | Beverly Jean Holmes | Case Manager/Care Coordinator | 9331 Foster Rd Apt C, Baton Rouge, LA 70811-2736 | 2020-10-19 |
| 1922606326 | Christie Hitchens | Case Manager/Care Coordinator | 1041 Chariot Dr, Baton Rouge, LA 70816-1842 | 2020-10-16 |
| 1750989190 | Bridgette Lynette Azoanee | Case Manager/Care Coordinator | 4119 Lake Sherwood Ave E, Baton Rouge, LA 70816-7322 | 2020-10-16 |
| 1629676465 | Jessica Dennis | Case Manager/Care Coordinator | 2950 Chippewa St, Baton Rouge, LA 70805-8126 | 2020-10-14 |
| 1720686769 | Wyona Jordan | Case Manager/Care Coordinator | 6980 Saint Francis Ave, Baton Rouge, LA 70811-1419 | 2020-10-13 |
| 1659984748 | Lasondra Finley | Case Manager/Care Coordinator | 6024 N Howell Dr, Baton Rouge, LA 70805-7231 | 2020-08-28 |
| 1134730476 | Melissa Urch | Case Manager/Care Coordinator | 14635 S Harrells Ferry Rd Ste 3a, Baton Rouge, LA 70816-2960 | 2020-08-11 |
| 1780294058 | Yolande Eileen Thomas | Case Manager/Care Coordinator | Array of Hope, 11940 Bricksome Ave, Baton Rouge, LA 70816 | 2020-08-03 |
| 1285243691 | Adriana Arshell Vessell | Case Manager/Care Coordinator | 2211 Weymouth Dr, Baton Rouge, LA 70809-2017 | 2020-07-31 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70802 |
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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.