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MS. REBECCA BARR BOURGEOIS LIC CLIN SOCIAL WORK NPI 1124084827


NPI Information

NPI: 1124084827
Provider Name: MS. REBECCA BARR BOURGEOIS, LIC CLIN SOCIAL WORK
Classification: Social Worker - 104100000X
Entity Type: Individual
Address:
901 WHITE ST
RUSTON MENTAL HEALTH CENTER
RUSTON, LA
ZIP 71270
Phone: (318) 251-4150
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MS. Rebecca Barr Bourgeois, LIC CLIN SOCIAL WORK is a social worker in Ruston, LA. The provider is 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. MS. Rebecca Barr Bourgeois, LIC CLIN SOCIAL WORK NPI is 1124084827. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

901 WHITE ST
RUSTON MENTAL HEALTH CENTER
RUSTON, LA
ZIP 71270
Phone: (318) 251-4150
Fax: (318) 251-4177

The enumeration date for this NPI number is 4/22/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial Worker2664LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15C144MEDICARE ID-TYPE UNSPECIFIEDLOUISIANA
21710342MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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