MEDICARE: MRS. TIRA SMITH 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	104100000X	Social Worker	7667	LA

General Provider Information

NPI Number	:	1134437106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TIRA SMITH JONES LCSW

Provider Business Mailing Address
First Line	:	5741 FOXCROFT DR
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70128-2702
Country	:	US
Telephone Number	:	504-339-8893
Fax Number	:

Provider Business Practice Location Address
First Line	:	7801 ALLSION RD
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70126-1816
Country	:	US
Telephone Number	:	504-339-8893
Fax Number	:	504-302-9186

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

Provider Enumeration Date	:	09/23/2010
Last Update Date	:	06/07/2011

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