Healthcare Provider Details

I. General information

NPI: 1578408035
Provider Name (Legal Business Name): SUMMER DAWN JONES LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

546 WALNUT GROVE DR
JARRATT VA
23867-8611
US

IV. Provider business mailing address

230 PURDY RD
EMPORIA VA
23847-2752
US

V. Phone/Fax

Practice location:
  • Phone: 434-634-3217
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904019511
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: