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NPI Code Detail

MEDICARE: ROBERT E JONES JR. LCSW

MEDICARE: ROBERT E JONES JR. 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
11041C0700XClinical Social Worker0904016797VA
21041C0700XClinical Social WorkerLC50078352DC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1F453-0006OTHERCAREFIRST BLUECHOICE
2560946-000OTHERMAGELLAN BEHAV. HEALTH
3642820-01OTHERCAREFIRST BC/BS-MD
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225033400
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT E JONES JR. LCSW
Provider Business Mailing Address
First Line : 7837 COLONIAL SPRINGS BLVD
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22306-2850
Country : US
Telephone Number : 202-253-0410
Fax Number :
Provider Business Practice Location Address
First Line : 6045 SOLOMONS ISLAND RD
Second Line :
City : HUNTINGTOWN
State : MD
Zip : 20639-8876
Country : US
Telephone Number : 410-257-5200
Fax Number : 410-257-2442
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2005
Last Update Date : 08/28/2024

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Directions to “ ROBERT E JONES JR. LCSW” Practice Location

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