Provider Demographics
NPI:1407743925
Name:ELDRIDGE, JILLIAN C (BS, LMSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:JILLIAN
Middle Name:C
Last Name:ELDRIDGE
Suffix:
Gender:F
Credentials:BS, LMSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 SONATA XING
Mailing Address - Street 2:
Mailing Address - City:DUSON
Mailing Address - State:LA
Mailing Address - Zip Code:70529-3354
Mailing Address - Country:US
Mailing Address - Phone:337-230-5774
Mailing Address - Fax:
Practice Address - Street 1:102 INDEPENDENCE BLVD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-6085
Practice Address - Country:US
Practice Address - Phone:337-473-2825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA137881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical