Organization Name: | SHANNON T. JONES, LCSW, INC. |
NPI Number: | 1386935542 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHANNON T. JONES (PRESIDENT) |
Mailing Address: | 1408 N Killian Dr Lake Park |
State: | FL US |
Postal Code: | 334031962 |
Phone Number: | 5618418860 |
Fax Number: | |
NPI Enumeration Date: | 04/22/2011 |
NPI Last Update Date: | 04/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |