MEDICARE: CAMESHA LYNETTE JONES- BRANDON LCSW

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	149.021952	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	149021952	OTHER	IL	LICENSE CLINICAL SOCIAL WORKER

General Provider Information

NPI Number	:	1790261907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMESHA LYNETTE JONES- BRANDON LCSW

Provider Business Mailing Address
First Line	:	4747 S SAINT LAWRENCE AVE APT 2S
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60615-1522
Country	:	US
Telephone Number	:	240-533-2876
Fax Number	:

Provider Business Practice Location Address
First Line	:	5022 S STATE ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60609-5328
Country	:	US
Telephone Number	:	708-292-8730
Fax Number	:

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

Provider Enumeration Date	:	07/11/2018
Last Update Date	:	11/20/2025

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Directions to “ CAMESHA LYNETTE JONES- BRANDON LCSW” Practice Location

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