Provider Demographics
NPI:1003930348
Name:ALI, JADA LEIGH (LCSW)
Entity Type:Individual
Prefix:
First Name:JADA
Middle Name:LEIGH
Last Name:ALI
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 1:210 AUSTIN OAKS CIR
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71292-2486
Mailing Address - Country:US
Mailing Address - Phone:318-366-0776
Mailing Address - Fax:
Practice Address - Street 1:2100 OLIVER RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-3628
Practice Address - Country:US
Practice Address - Phone:318-329-9455
Practice Address - Fax:318-329-9492
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA82981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical