Doctor Name: | ELIZABETH A JONES |
NPI Number: | 1952684193 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, BCBA |
License Number: | ISW01500 |
Business Practice Address: | 15 School St East Granby, CT - 060269770 |
Business Phone Number: | 8604139538 |
Business Fax Number: | 8604718142 |
Mailing Address: | 28 Chandler Dr, COVENTRY |
State: | RI |
Postal Code: | 028168502 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/23/2011 |
NPI Last Update Date: | 09/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | ISW01500 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | RI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |