Provider Demographics
NPI:1942922786
Name:ALI, JIHAD ABDUL (LMSW)
Entity Type:Individual
Prefix:
First Name:JIHAD
Middle Name:ABDUL
Last Name:ALI
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8841 FONTANA LN
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-2311
Mailing Address - Country:US
Mailing Address - Phone:410-419-4547
Mailing Address - Fax:
Practice Address - Street 1:8841 FONTANA LN
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:MD
Practice Address - Zip Code:21237-2311
Practice Address - Country:US
Practice Address - Phone:410-419-4547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17860104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker