MEDICARE: KIMBERLY 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
1	1041C0700X	Clinical Social Worker	149025824	IL
2	1041C0700X	Clinical Social Worker	114432	TX

General Provider Information

NPI Number	:	1598344194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY JONES LCSW

Provider Business Mailing Address
First Line	:	2600 GRAMERCY ST APT 214
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-3170
Country	:	US
Telephone Number	:	206-747-6190
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 GRAMERCY ST APT 214
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-3170
Country	:	US
Telephone Number	:	202-684-6045
Fax Number	:

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

Provider Enumeration Date	:	04/02/2021
Last Update Date	:	01/02/2026

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Directions to “ KIMBERLY JONES LCSW” Practice Location

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