Healthcare Provider Details

I. General information

NPI: 1326417304
Provider Name (Legal Business Name): JEFFREY H JONES LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2015
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1007 N MAIN ST
DAYVILLE CT
06241-2170
US

IV. Provider business mailing address

2 PIN OAK CT
COVENTRY RI
02816-7943
US

V. Phone/Fax

Practice location:
  • Phone: 860-774-2020
  • Fax: 860-774-0826
Mailing address:
  • Phone: 860-817-1240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number10065
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: