Provider Demographics
NPI:1659780823
Name:PIERRE, JESSICA RACHELLE (LSWAA)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:RACHELLE
Last Name:PIERRE
Suffix:
Gender:F
Credentials:LSWAA
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:RACHELLE
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PSC 467 BOX 1879
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09096-0019
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PSC 467 BOX 1879
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09096-0019
Practice Address - Country:US
Practice Address - Phone:301-802-1465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-12
Last Update Date:2025-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASWAA.SA.61468990104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker