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Contact Information

FREDERICKA C JIM, LMSW
116 BERTRAND DR
LAFAYETTE, LA70506
 Phone: 337-261-8781
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for FREDERICKA C JIM · (Female)

NPI # 1164961645
Status Active
Credentials LMSW (Licensed Master Social Worker)
Entity Individual
Enumeration date 02/17/2017
Last updated 04/29/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • LA License # LMSW
  • MD License # LMSW
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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