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NPI Code Detail

MEDICARE: URSULA M JONES, LCSW

MEDICARE: URSULA M 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 WorkerR026446NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11245274174OTHERNPI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881993731
Entity Type Code : Organization
Provider Name (Legal Business Name) : URSULA M JONES, LCSW
Provider Business Mailing Address
First Line : 22 US OVAL
Second Line : SUITE 204
City : PLATTSBURGH
State : NY
Zip : 12903-5900
Country : US
Telephone Number : 518-324-4344
Fax Number : 518-324-4344
Provider Business Practice Location Address
First Line : 22 US OVAL
Second Line : SUITE 204
City : PLATTSBURGH
State : NY
Zip : 12903-5900
Country : US
Telephone Number : 518-324-4344
Fax Number : 518-324-4344
Authorized Official
Title or Position : LCSW
Name : MS. URSULA MARIE JONES
Credential : MSW
Telephone Number : 518-324-4344
Provider Enumeration Date : 03/17/2011
Last Update Date : 03/17/2011

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