MEDICARE: SHAREE NAYA JONES LCSW, LCASA

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	LCAS-28212	NC
2	1041C0700X	Clinical Social Worker	C018960	NC

General Provider Information

NPI Number	:	1578296927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAREE NAYA JONES LCSW, LCASA

Provider Business Mailing Address
First Line	:	613 BON AIR AVE
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27704-3301
Country	:	US
Telephone Number	:	919-914-3828
Fax Number	:

Provider Business Practice Location Address
First Line	:	613 BON AIR AVE
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27704-3301
Country	:	US
Telephone Number	:	919-914-3828
Fax Number	:

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

Provider Enumeration Date	:	07/04/2022
Last Update Date	:	09/05/2025

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