Healthcare Provider Details

I. General information

NPI: 1740655307
Provider Name (Legal Business Name): GLORIA JEAN JONES LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2015
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 COCHRANE CCRCLE
FORT CARSON CO
80913
US

IV. Provider business mailing address

1650 COCHRANE CIRCLE
FORT CARSON CO
80913
US

V. Phone/Fax

Practice location:
  • Phone: 719-526-7155
  • Fax:
Mailing address:
  • Phone: 719-526-7155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09924102
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: