Active NPI
Jihad Aleem Hud, PH.D., LCSW
- Clinical Social Worker
- Columbus, GA
National Provider Identifier
1578723409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW000776
- Practice address
- 2222 Francis St
Columbus, GA 31906-2512 - Phone
- (706) 221-4830
- Fax
- (706) 622-3030
- NPI assigned
- Jun 13, 2008
- Last updated
- Jun 21, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW000776 | GA | Primary |
Addresses
Primary practice location
2222 Francis St
Columbus, GA 31906-2512
Mailing address
2833 Mimosa St
Columbus, GA 31906-2163
Phone (706) 221-4830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 514073675A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW000776 | GA | MD | Clinical Social Worker |
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.
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- NPI 1205156932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466467200000",
"number": "1578723409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2833 MIMOSA ST",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319062163",
"telephone_number": "706-221-4830",
"fax_number": "706-622-3030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 FRANCIS ST",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319062512",
"telephone_number": "706-221-4830",
"fax_number": "706-622-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUD",
"first_name": "JIHAD",
"middle_name": "ALEEM",
"name_prefix": "Dr.",
"credential": "PH.D., LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-13",
"last_updated": "2016-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW000776",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "514073675A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.