MEDICARE: AMANDA JONES LMSW

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	23082	MD

General Provider Information

NPI Number	:	1285104190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA JONES LMSW

Provider Business Mailing Address
First Line	:	438 PARADISE RD
Second Line	:
City	:	ABERDEEN
State	:	MD
Zip	:	21001-1815
Country	:	US
Telephone Number	:	443-876-2040
Fax Number	:

Provider Business Practice Location Address
First Line	:	438 PARADISE RD
Second Line	:
City	:	ABERDEEN
State	:	MD
Zip	:	21001-1815
Country	:	US
Telephone Number	:	443-876-2040
Fax Number	:

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

Provider Enumeration Date	:	12/04/2018
Last Update Date	:	06/11/2023

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