Provider Demographics
NPI:1821786567
Name:HALL, JASMINE (LCSW, JD)
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:LCSW, JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1444 JOSEPHINE ST APT 10
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-5341
Mailing Address - Country:US
Mailing Address - Phone:504-232-7364
Mailing Address - Fax:
Practice Address - Street 1:1444 JOSEPHINE ST APT 10
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-5341
Practice Address - Country:US
Practice Address - Phone:504-232-7364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0250651041C0700X
LA125881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical