Provider Demographics
NPI:1184994279
Name:CASS, JENIFER CREPPEL
Entity type:Individual
Prefix:MRS
First Name:JENIFER
Middle Name:CREPPEL
Last Name:CASS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47285 PALM DR
Mailing Address - Street 2:
Mailing Address - City:TICKFAW
Mailing Address - State:LA
Mailing Address - Zip Code:70466-4211
Mailing Address - Country:US
Mailing Address - Phone:985-543-4730
Mailing Address - Fax:985-543-4752
Practice Address - Street 1:47285 PALM DR
Practice Address - Street 2:
Practice Address - City:TICKFAW
Practice Address - State:LA
Practice Address - Zip Code:70466-4211
Practice Address - Country:US
Practice Address - Phone:985-543-4730
Practice Address - Fax:985-543-4752
Is Sole Proprietor?:No
Enumeration Date:2012-01-05
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator