MEDICARE: LAUREN J JONES LICSW, LCSW-C

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	LC50081370	DC
2	1041C0700X	Clinical Social Worker	22322	MD

General Provider Information

NPI Number	:	1366951725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN J JONES LICSW, LCSW-C

Provider Business Mailing Address
First Line	:	6711 FARMER DR
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-1021
Country	:	US
Telephone Number	:	240-230-7352
Fax Number	:

Provider Business Practice Location Address
First Line	:	6711 FARMER DR
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-1021
Country	:	US
Telephone Number	:	240-230-7352
Fax Number	:

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

Provider Enumeration Date	:	09/28/2017
Last Update Date	:	02/27/2024

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