Thomas, Jennifer Gayle

Thomas, Jennifer Gayle is an individual health care provider with primary practice located at 542 Columbia St , Bogalusa LA 70427-4720. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Thomas, Jennifer Gayle can be contacted via phone (985) 735-9448.

Contact Information

Primary practice address
542 Columbia St Bogalusa LA 70427-4720
Phone: (985) 735-9448
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 10477 Louisiana
Other Service Providers / Case Manager/Care Coordinator 171M00000X 10477 Louisiana

Profile Details

NPI number 1811478506
LBN Legal business name Thomas, Jennifer Gayle
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2018
Last updated Jun 11th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811478506 NPPES
Louisiana MEDICAID 3664364

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