MEDICARE: INGRID MARIE 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	13980	LA
2	171M00000X	Case Manager/Care Coordinator	13980	LA
3	104100000X	Social Worker	13980	LA

General Provider Information

NPI Number	:	1902342884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	INGRID MARIE JONES LMSW

Provider Business Mailing Address
First Line	:	1265 MARSHALL DR
Second Line	:
City	:	MARRERO
State	:	LA
Zip	:	70072-2630
Country	:	US
Telephone Number	:	504-645-0452
Fax Number	:

Provider Business Practice Location Address
First Line	:	1639 RYAN ST
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70601-5948
Country	:	US
Telephone Number	:	337-602-6391
Fax Number	:

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

Provider Enumeration Date	:	01/16/2017
Last Update Date	:	02/20/2025

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