Individual provider Active NPI

Jada Leigh Ali, LCSW

  • Clinical Social Worker
  • Monroe, LA
National Provider Identifier
1003930348
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8298 Issued in LA
Practice address
2100 Oliver Rd
Monroe, LA 71201-3628
Phone
(318) 329-9455
Fax
(318) 329-9492
NPI assigned
Mar 19, 2007
Last updated
Aug 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8298 LA Primary

Addresses

Primary practice location

2100 Oliver Rd
Monroe, LA 71201-3628

Mailing address

210 Austin Oaks Cir
West Monroe, LA 71292-2486
Phone (318) 366-0776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230913001106 LA Practitioner - Clinical Social Worker 2365806197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aruna Gullapalli, MD ApmcGroup PAC ID 4981603784, 5 clinicians

Practice addresses (Care Compare)

2100 Oliver Rd
Monroe, LA 71201-3628
Phone (318) 322-0301

2404 Duval Dr
Monroe, LA 71201-2986
Phone (318) 329-3933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8298LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aruna Gullapalli MD Apmc CurrentSince Sep 1, 2023 Accepting new patients

Locations

2100 Oliver Rd
Monroe, LA 71201
Phone (318) 322-0301

2404 Duval Dr
Monroe, LA 71201
Phone (318) 322-0640

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1003930348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 AUSTIN OAKS CIR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712922486",
            "telephone_number": "318-366-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 OLIVER RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013628",
            "telephone_number": "318-329-9455",
            "fax_number": "318-329-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "JADA",
        "middle_name": "LEIGH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "8298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.