MEDICARE: EVELYN JONES LCSW, M.ED.

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	1041C0700X	Clinical Social Worker	130127	CA

General Provider Information

NPI Number	:	1043841562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVELYN JONES LCSW, M.ED.

Provider Business Mailing Address
First Line	:	2202 S FIGUEROA ST # 707
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90007-2049
Country	:	US
Telephone Number	:	424-302-3408
Fax Number	:

Provider Business Practice Location Address
First Line	:	3756 SANTA ROSALIA DR STE 211
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90008-3619
Country	:	US
Telephone Number	:	323-714-3493
Fax Number	:	562-394-1099

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

Provider Enumeration Date	:	02/03/2020
Last Update Date	:	12/01/2025

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