Healthcare Provider Details

I. General information

NPI: 1619444916
Provider Name (Legal Business Name): LORYN JONES MSW, LCSWA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2018
Last Update Date: 10/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1329 N BRIGHTLEAF BLVD STE D
SMITHFIELD NC
27577-7262
US

IV. Provider business mailing address

1630 OAKLAND HILLS WAY
RALEIGH NC
27604-5849
US

V. Phone/Fax

Practice location:
  • Phone: 919-938-8811
  • Fax: 919-938-8751
Mailing address:
  • Phone: 919-740-6821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberPO13005
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: