Healthcare Provider Details

I. General information

NPI: 1740178052
Provider Name (Legal Business Name): ANGELA M JONES LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2025
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 HARTFORD AVENUE
ATLANTIC CITY NJ
08401
US

IV. Provider business mailing address

13 N HARTFORD AVE
ATLANTIC CITY NJ
08401-3512
US

V. Phone/Fax

Practice location:
  • Phone: 609-572-8555
  • Fax: 609-348-5460
Mailing address:
  • Phone: 609-348-1161
  • Fax: 609-348-5460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SL07218700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: