Healthcare Provider Details
I. General information
NPI: 1285906909
Provider Name (Legal Business Name): MARGARET RITA DIJOHN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/27/2012
Last Update Date: 01/10/2025
Certification Date: 01/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5650 CLAYCUT RD
BATON ROUGE LA
70806-7213
US
IV. Provider business mailing address
5959 S SHERWOOD FOREST BLVD
BATON ROUGE LA
70816-6038
US
V. Phone/Fax
- Phone: 225-930-8155
- Fax: 225-930-9954
- Phone: 225-930-8155
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 1426 |
| License Number State | LA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041S0200X |
| Taxonomy | School Social Worker |
| License Number | 1426 |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: