MEDICARE: JURATE JONES LMSW

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	101YM0800X	Mental Health Counselor
2	104100000X	Social Worker	103206	NY

General Provider Information

NPI Number	:	1518014364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JURATE JONES LMSW

Provider Business Mailing Address
First Line	:	10470 QUEENS BLVD
Second Line	:	SUITE 200
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-3694
Country	:	US
Telephone Number	:	718-275-6010
Fax Number	:	718-275-6062

Provider Business Practice Location Address
First Line	:	10470 QUEENS BLVD
Second Line	:	SUITE 200
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-3694
Country	:	US
Telephone Number	:	718-275-6010
Fax Number	:	718-275-6062

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

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	03/02/2018

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