MEDICARE: MRS. LAUREN CASSIDY JONES LCSW

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	1041C0700X	Clinical Social Worker	PO11484	NC

General Provider Information

NPI Number	:	1124544689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAUREN CASSIDY JONES LCSW

Provider Business Mailing Address
First Line	:	5 BLUEBIRD CT
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27713-8139
Country	:	US
Telephone Number	:	919-699-9824
Fax Number	:

Provider Business Practice Location Address
First Line	:	2003 NC-54 SUITE C
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27713-2771
Country	:	US
Telephone Number	:	919-682-5300
Fax Number	:

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

Provider Enumeration Date	:	08/16/2017
Last Update Date	:	03/18/2021

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