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General NPI Number Information
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NPI Number | 1700306818
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Entity Type | Individual
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Provider Name | SERENA DARCELL JONES LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 1030 JEFFERSON AVE SERVICE NUMBER 122
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City | MEMPHIS
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State | TN
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Zip | 38104
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Country | US
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Telephone | 901-523-8990
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Fax | 901-725-0437
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Provider Business Mailing Address
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Address Line | 2965 MELANIE CV
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City | NESBIT
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State | MS
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Zip | 38651-1024
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Country | US
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Telephone | 662-404-0877
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 10407
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6738
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C-9767
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License Number State | MS
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