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NPI 1770166258

NPI 1770166258 : LEE ANN JONES ADS, MSW, LGSW : BRIDGEPORT, WV

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General NPI Number Information
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    NPI Number           |    1770166258
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    Entity Type          |    Individual 
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    Provider Name        |    LEE ANN JONES ADS, MSW, LGSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/03/2021
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    Last Update Date     |    12/07/2025
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Provider Practice Location Address
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    Address Line         |    27 TROVATO ST 
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    City                 |    BRIDGEPORT
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    State                |    WV
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    Zip                  |    26330-7057
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    Country              |    US
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    Telephone            |    304-623-6300
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    27 TROVATO ST STE 103 
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    City                 |    BRIDGEPORT
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    State                |    WV
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    Zip                  |    26330-7286
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    Country              |    US
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    Telephone            |    304-623-6300
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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        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    19033
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    License Number State |    WV
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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       |    BP00945873
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    License Number State |    WV
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