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Provider Information for 1477740207


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JENNIFER MARIE ROCHEL LCSW, LICSW


Sex: Female

NPI: 1477740207
Last Updated: 2024-02-26
Certification Date: 2024-02-26

Details

NameValue
NPI1477740207
Enumeration Date2007-09-25
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 6133 BAYOU BLACK DR
GIBSON, LA 70356-3511
United States

Phone: 504-908-4853 | Fax:
 
Primary Practice Address 3500 N CAUSEWAY BLVD STE 160
METAIRIE, LA 70002-3592
United States

Phone: 150-490-8485 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 193400000X - Single Specialty Group
1041C0700X - Social Worker - Clinical
LA11250
No 1041C0700X - Social Worker - ClinicalDCLC200001704