Healthcare Provider Details

I. General information

NPI: 1306246426
Provider Name (Legal Business Name): MYRA J JONES MSW, LISW, IADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2014
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1277 N 9TH ST
FORT DODGE IA
50501-2545
US

IV. Provider business mailing address

1277 N 9TH ST
FORT DODGE IA
50501-2545
US

V. Phone/Fax

Practice location:
  • Phone: 515-573-0933
  • Fax:
Mailing address:
  • Phone: 515-573-0933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number007782
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number007782
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: