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NPI Code Detail

MEDICARE: VIRGINIA O JONES LCSW

MEDICARE: VIRGINIA O 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 WorkerSW7450FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548391147
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRGINIA O JONES LCSW
Provider Business Mailing Address
First Line : 1601 NE BRAILLE PL STE 110
Second Line :
City : JENSEN BEACH
State : FL
Zip : 34957-5345
Country : US
Telephone Number : 772-320-0792
Fax Number : 772-320-0181
Provider Business Practice Location Address
First Line : 1601 NE BRAILLE PL
Second Line :
City : JENSEN BEACH
State : FL
Zip : 34957-5345
Country : US
Telephone Number : 772-320-0792
Fax Number : 772-320-0181
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 07/21/2022

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Directions to “ VIRGINIA O JONES LCSW” Practice Location

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