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NPI Code Detail

MEDICARE: MS. RENEE JONES LCSW

MEDICARE: MS. RENEE JONES LCSW
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
11041C0700XClinical Social Worker084986-01NY

General Provider Information

NPI Number : 1346310612
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RENEE JONES LCSW
Provider Business Mailing Address
First Line : 1765 SOUTH AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-3604
Country : US
Telephone Number : 347-619-6402
Fax Number : 718-982-6916
Provider Business Practice Location Address
First Line : 1765 SOUTH AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-3604
Country : US
Telephone Number : 347-619-6402
Fax Number : 718-982-6916
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 02/24/2026

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