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NPI Code Detail

MEDICARE: CRYSTAL S JONES LCSWA

MEDICARE: CRYSTAL S JONES LCSWA
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 WorkerP013297NC

General Provider Information

NPI Number : 1508143637
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL S JONES LCSWA
Provider Business Mailing Address
First Line : 3000 NEW BERN AVE
Second Line :
City : RALEIGH
State : NC
Zip : 27610-1295
Country : US
Telephone Number : 919-350-8898
Fax Number :
Provider Business Practice Location Address
First Line : 3000 NEW BERN AVE
Second Line :
City : RALEIGH
State : NC
Zip : 27610-1295
Country : US
Telephone Number : 919-350-8898
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2011
Last Update Date : 02/18/2021

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Directions to “ CRYSTAL S JONES LCSWA” Practice Location

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