Healthcare Provider Details

I. General information

NPI: 1053233783
Provider Name (Legal Business Name): MAURICE JONES LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 COLUMBUS DR
FRANKLIN PARK NJ
08823-1731
US

IV. Provider business mailing address

81 COLUMBUS DR
FRANKLIN PARK NJ
08823-1731
US

V. Phone/Fax

Practice location:
  • Phone: 732-314-3318
  • Fax:
Mailing address:
  • Phone: 732-314-3318
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC06045300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: