Healthcare Provider Details

I. General information

NPI: 1164356390
Provider Name (Legal Business Name): CHARLES JONES LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2210 LINCOLN WAY
AMES IA
50014-7106
US

IV. Provider business mailing address

1229 MOUNT LORETTA AVE
DUBUQUE IA
52003-7826
US

V. Phone/Fax

Practice location:
  • Phone: 515-296-2759
  • Fax: 563-557-3140
Mailing address:
  • Phone: 563-588-0558
  • Fax: 563-557-3140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number139086
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: