Healthcare Provider Details

I. General information

NPI: 1710580063
Provider Name (Legal Business Name): CALLEEN MORGAN JONES LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/19/2020
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2495 SHREVEPORT HWY
PINEVILLE LA
71360-4044
US

IV. Provider business mailing address

7357 TRAPIER AVE
NEW ORLEANS LA
70127-1637
US

V. Phone/Fax

Practice location:
  • Phone: 318-483-5144
  • Fax:
Mailing address:
  • Phone: 574-315-2615
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number11769
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: