Provider Demographics
NPI:1003998048
Name:JONES, ROBERT L (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:L
Last Name:JONES
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:MR
Other - First Name:BOB
Other - Middle Name:L
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW, TX # 33139
Mailing Address - Street 1:1711 E CENTRAL TEXAS EXPY
Mailing Address - Street 2:SUITE 302
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76541-9166
Mailing Address - Country:US
Mailing Address - Phone:254-200-0083
Mailing Address - Fax:254-200-0084
Practice Address - Street 1:1711 E CENTRAL TEXAS EXPY
Practice Address - Street 2:SUITE 302
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76541-9166
Practice Address - Country:US
Practice Address - Phone:254-200-0083
Practice Address - Fax:254-200-0084
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLCSW 331391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1037574-01Medicaid
TX0055MJMedicare ID - Type UnspecifiedPART B