Healthcare Provider Details

I. General information

NPI: 1467113506
Provider Name (Legal Business Name): ERICA LYNN JONES LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2021
Last Update Date: 05/11/2026
Certification Date: 08/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3520 E SHIELDS AVE
FRESNO CA
93726-6923
US

IV. Provider business mailing address

5379 W BELMONT AVE
FRESNO CA
93723-9555
US

V. Phone/Fax

Practice location:
  • Phone: 559-538-1230
  • Fax:
Mailing address:
  • Phone: 155-936-7948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number71115
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number114877
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number71115
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: