Provider Demographics
NPI:1932818846
Name:NADAL, JALAYNA AYRES (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:JALAYNA
Middle Name:AYRES
Last Name:NADAL
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2107 WILLOW OAK CT
Mailing Address - Street 2:
Mailing Address - City:MORAINE
Mailing Address - State:OH
Mailing Address - Zip Code:45439-0002
Mailing Address - Country:US
Mailing Address - Phone:814-746-5802
Mailing Address - Fax:
Practice Address - Street 1:2107 WILLOW OAK CT
Practice Address - Street 2:
Practice Address - City:MORAINE
Practice Address - State:OH
Practice Address - Zip Code:45439-0002
Practice Address - Country:US
Practice Address - Phone:814-746-5802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-18
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.2004820104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker