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WILLIE JEFFERSON MA
NPI 1689297046
Case Manager/Care Coordinator in Shreveport, LA

Active since May 20, 2020
1533 MARSHALL ST, SHREVEPORT, LA 71101(318) 626-5597 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2021, May 20, 2020 (2 updates tracked since 2020).

About Willie Jefferson Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIE JEFFERSON MA (NPI 1689297046) is an individual case manager/care coordinator provider in Shreveport, Louisiana and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1689297046
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameWILLIE JEFFERSONCredential: MA
Location Address1533 MARSHALL STShreveport, LA 71101-3941
Mailing Address620 N Farmerville StRuston, LA 71270-3985
Phone(318) 626-5597
Sole ProprietorYes
Enumeration DateMay 20, 2020
Last NPPES UpdateApril 1, 20212 updates tracked since enumeration
NPPES CertifiedApril 1, 2021
✔ NPI 1689297046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
1533 MARSHALL ST, Shreveport, LA 71101
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

D'RASHA MEYERS
Case Manager/Care Coordinator
1533 MARSHALL ST
SHREVEPORT, LA 71101
Caddo Parish (318) 626-5597
KENDRA VALITCHKA
Case Manager/Care Coordinator
1533 MARSHALL ST
SHREVEPORT, LA 71101
Caddo Parish (318) 626-5597
MS. CHEYENNE LA'TYCE GILL
Case Manager/Care Coordinator
1533 MARSHALL ST
SHREVEPORT, LA 71101
Caddo Parish (318) 626-5597
SHARDAVIUS LOFTON
Case Manager/Care Coordinator
1533 MARSHALL ST
SHREVEPORT, LA 71101
Caddo Parish (318) 626-5597
MEKENCIE ALISE GRAHAM
Case Manager/Care Coordinator
1533 MARSHALL ST
SHREVEPORT, LA 71101
Caddo Parish (318) 626-5597
CHAUNCEY DYER
Peer Specialist
1533 MARSHALL ST
SHREVEPORT, LA 71101
Caddo Parish (318) 626-5597
JADE EBONIE PICKETT
Case Manager/Care Coordinator
1533 MARSHALL ST
SHREVEPORT, LA 71101
Caddo Parish (318) 626-5597
DEMETRICK DARNELL ROBERTSON
Case Manager/Care Coordinator
1533 MARSHALL ST
SHREVEPORT, LA 71101
Caddo Parish (318) 626-5597

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willie Jefferson's NPI number?

The NPI number for Willie Jefferson is 1689297046. It was assigned to this individual provider in the NPPES registry on May 20, 2020.

Where is Willie Jefferson located?

Willie Jefferson practices at 1533 Marshall St, Shreveport, LA 71101. The listed phone number is (318) 626-5597.

What is Willie Jefferson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Willie Jefferson was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.