MEDICARE: DR. D'ANDRE JONES LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	9792-M	AR
2	1041S0200X	School Social Worker	9792-M	AR
3	1041C0700X	Clinical Social Worker	9792-M	AR
4	101YM0800X	Mental Health Counselor	9792-M	AR

General Provider Information

NPI Number	:	1124271051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. D'ANDRE JONES LMSW

Provider Business Mailing Address
First Line	:	445 SW MIAMI LOOP APT 12
Second Line	:
City	:	FAYETTEVILLE
State	:	AR
Zip	:	72701-7738
Country	:	US
Telephone Number	:	479-283-9152
Fax Number	:

Provider Business Practice Location Address
First Line	:	445 SW MIAMI LOOP APT 12
Second Line	:
City	:	FAYETTEVILLE
State	:	AR
Zip	:	72701-7738
Country	:	US
Telephone Number	:	479-283-9152
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2008
Last Update Date	:	03/11/2026

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