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NPI Code Detail

MEDICARE: JODI JONES LCSW

MEDICARE: JODI 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 Worker7213-CNV

General Provider Information

NPI Number : 1750726717
Entity Type Code : Individual
Provider Name (Legal Business Name) : JODI JONES LCSW
Provider Business Mailing Address
First Line : 1835 WENDY WAY
Second Line :
City : RENO
State : NV
Zip : 89509-8208
Country : US
Telephone Number : 775-846-3078
Fax Number :
Provider Business Practice Location Address
First Line : 10631 PROFESSIONAL CIR STE A
Second Line :
City : RENO
State : NV
Zip : 89521-5835
Country : US
Telephone Number : 775-826-6218
Fax Number : 775-826-6271
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2013
Last Update Date : 06/13/2019

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