Healthcare Provider Details

I. General information

NPI: 1801261813
Provider Name (Legal Business Name): JAMAAL ISRAEL LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2015
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 BIENVILLE ST STE 4
NEW ORLEANS LA
70112-3183
US

IV. Provider business mailing address

1025 BIENVILLE ST
NEW ORLEANS LA
70112-3179
US

V. Phone/Fax

Practice location:
  • Phone: 504-332-8962
  • Fax: 504-676-6042
Mailing address:
  • Phone: 504-332-8962
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number19978
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: