MEDICARE: SHERRY LEE JONES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	ASW 27083	CA
2	1041C0700X	Clinical Social Worker	C019194	NC
3	101YM0800X	Mental Health Counselor
4	1041C0700X	Clinical Social Worker	11984-C	NV

General Provider Information

NPI Number	:	1023268257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRY LEE JONES

Provider Business Mailing Address
First Line	:	6675 S TENAYA WAY STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-1932
Country	:	US
Telephone Number	:	702-625-0757
Fax Number	:

Provider Business Practice Location Address
First Line	:	6675 S TENAYA WAY STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-1932
Country	:	US
Telephone Number	:	702-625-0757
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2008
Last Update Date	:	01/23/2026

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Directions to “ SHERRY LEE JONES ” Practice Location

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