Healthcare Provider Details

I. General information

NPI: 1598257925
Provider Name (Legal Business Name): TYLONDIA M JONES LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2018
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5310 E MAIN ST STE 202
COLUMBUS OH
43213-2598
US

IV. Provider business mailing address

6552 PORTSMOUTH DR
REYNOLDSBURG OH
43068-1948
US

V. Phone/Fax

Practice location:
  • Phone: 614-448-3718
  • Fax:
Mailing address:
  • Phone: 614-302-6238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberS.1101619
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: