Provider Demographics
NPI:1003107079
Name:EL-BAGHDADI, NADA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:NADA
Middle Name:
Last Name:EL-BAGHDADI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 HUDSON LN STE 133
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-6037
Mailing Address - Country:US
Mailing Address - Phone:318-362-3004
Mailing Address - Fax:
Practice Address - Street 1:5401 SHED ROAD
Practice Address - Street 2:NORTHWEST SUPPORTS & SERVICES CENTER
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111
Practice Address - Country:US
Practice Address - Phone:318-741-5242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-26
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA33141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical