=====================================================
General NPI Number Information
=====================================================
NPI Number | 1194187047
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RACHEL JONES LCSW-C, PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/21/2016
-----------------------------------------------------
Last Update Date | 03/14/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 121 CONGRESSIONAL LN 604
-----------------------------------------------------
City | ROCKVILLE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20852
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-956-6700
-----------------------------------------------------
Fax | 301-956-6700
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7111 WOODMONT AVE 213
-----------------------------------------------------
City | CHEVY CHASE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20815
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-928-4029
-----------------------------------------------------
Fax | 301-928-4029
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | RACHEL JONES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 301-956-6700
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 16479
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------