Provider Demographics
NPI:1053839464
Name:JONES, TESS KATHLEEN (LSW)
Entity Type:Individual
Prefix:MRS
First Name:TESS
Middle Name:KATHLEEN
Last Name:JONES
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:MISS
Other - First Name:TESS
Other - Middle Name:KATHLEEN
Other - Last Name:HOPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:15754 STILL RD
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16438-7642
Mailing Address - Country:US
Mailing Address - Phone:814-881-3032
Mailing Address - Fax:
Practice Address - Street 1:135 E 38TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16504-1559
Practice Address - Country:US
Practice Address - Phone:814-860-2528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-06
Last Update Date:2017-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW132220104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker