Provider Demographics
NPI:1225508500
Name:PUJOL, JAIME MICHELE (MSW, RSW)
Entity Type:Individual
Prefix:
First Name:JAIME
Middle Name:MICHELE
Last Name:PUJOL
Suffix:
Gender:F
Credentials:MSW, RSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLINTON
Mailing Address - State:LA
Mailing Address - Zip Code:70438-1718
Mailing Address - Country:US
Mailing Address - Phone:985-322-2026
Mailing Address - Fax:985-839-5912
Practice Address - Street 1:915 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:FRANKLINTON
Practice Address - State:LA
Practice Address - Zip Code:70438-1718
Practice Address - Country:US
Practice Address - Phone:985-322-2026
Practice Address - Fax:985-839-5912
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-29
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
LA104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No104100000XBehavioral Health & Social Service ProvidersSocial Worker