Healthcare Provider Details

I. General information

NPI: 1669203964
Provider Name (Legal Business Name): ASIA JONES FREEMAN MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2024
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 RUE IBERVILLE
LAFAYETTE LA
70508-3295
US

IV. Provider business mailing address

128 DYLDRINE DR
OPELOUSAS LA
70570-4885
US

V. Phone/Fax

Practice location:
  • Phone: 337-521-7000
  • Fax:
Mailing address:
  • Phone: 337-280-6797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number11851
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: