| Jane Bankston Smith, Lcsw,llc | |
|
7777 Hennessy Blvd Suite 302 Baton Rouge LA 70808-4300 | |
| (225) 767-1181 | |
| (225) 765-3430 |
| Full Name | Jane Bankston Smith, Lcsw,llc |
|---|---|
| Speciality | Social Worker |
| Location | 7777 Hennessy Blvd, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Jane Bankston Smith (SOCIAL WORKER) |
| Authorized Official Contact | 2257671181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jane Bankston Smith, Lcsw,llc 7777 Hennessy Blvd Suite 302 Baton Rouge LA 70808-4300 Ph: (225) 767-1181 | Jane Bankston Smith, Lcsw,llc 7777 Hennessy Blvd Suite 302 Baton Rouge LA 70808-4300 Ph: (225) 767-1181 |
| NPI Number | 1376729517 |
|---|---|
| Provider Enumeration Date | 01/17/2008 |
| Last Update Date | 01/17/2008 |
| Medicare PECOS PAC ID | 8426023698 |
|---|---|
| Medicare Enrollment ID | O20040831000980 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376729517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1348 (Louisiana) | Primary |
| Provider Name | Jane B Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194870113 PECOS PAC ID: 3779556030 Enrollment ID: I20040816000242 |
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