Jada Leigh Ali, LCSW

Individual provider Active NPI Clinical Social Worker · Monroe, LA

NPI 1003930348 · NPPES record last updated Aug 9, 2023

Key facts

NPI
1003930348
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
8298 (LA)
Practice address
2100 Oliver Rd
Monroe, LA 71201-3628
Phone
(318) 329-9455
Fax
(318) 329-9492
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aruna Gullapalli, MD Apmc (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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
8298LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aruna Gullapalli MD Apmc Current
since 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

Specialties & licenses

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

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

Other providers in Monroe, LA

All providers in Monroe, LA · Clinical Social Worker in Louisiana

Sources for this page

Verify at the official NPI Registry.