MEDICARE: ANTHONY B JONES LCSW-S

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	36120	TX

General Provider Information

NPI Number	:	1306057377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY B JONES LCSW-S

Provider Business Mailing Address
First Line	:	PO BOX 4780
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77210-4780
Country	:	US
Telephone Number	:	713-203-4730
Fax Number	:	713-636-7193

Provider Business Practice Location Address
First Line	:	1712 1ST ST E STE M20
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77338-5238
Country	:	US
Telephone Number	:	713-203-4730
Fax Number	:	713-636-7193

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

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	03/23/2022

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