MEDICARE: MS. KESHIA NICHOL JONES MSW, LISW

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		OH
2	104100000X	Social Worker	S.1600160	OH
3	1041C0700X	Clinical Social Worker	I.2405333	OH

General Provider Information

NPI Number	:	1619452190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KESHIA NICHOL JONES MSW, LISW

Provider Business Mailing Address
First Line	:	1405 E MCMILLAN ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45206-2224
Country	:	US
Telephone Number	:	614-400-8795
Fax Number	:

Provider Business Practice Location Address
First Line	:	1405 E MCMILLAN ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45206-2224
Country	:	US
Telephone Number	:	614-400-8795
Fax Number	:

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

Provider Enumeration Date	:	10/01/2018
Last Update Date	:	12/27/2024

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