Healthcare Provider Details

I. General information

NPI: 1548095995
Provider Name (Legal Business Name): LOVELEIGH DEY JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2024
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1910 TOWNE CENTRE BLVD STE 250
ANNAPOLIS MD
21401-3599
US

IV. Provider business mailing address

PO BOX 1
BRANDYWINE MD
20613-0001
US

V. Phone/Fax

Practice location:
  • Phone: 443-256-5290
  • Fax:
Mailing address:
  • Phone: 813-310-6136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number34882
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number0903004983
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLG200003419
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: