Provider Demographics
NPI:1073728911
Name:JONES, GEORGE ROGER (MSW)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:ROGER
Last Name:JONES
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5391 ROCKY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MCALESTER
Mailing Address - State:OK
Mailing Address - Zip Code:74501-8046
Mailing Address - Country:US
Mailing Address - Phone:918-423-8312
Mailing Address - Fax:
Practice Address - Street 1:5391 ROCKY RIDGE RD
Practice Address - Street 2:
Practice Address - City:MCALESTER
Practice Address - State:OK
Practice Address - Zip Code:74501-8046
Practice Address - Country:US
Practice Address - Phone:918-423-8312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK00381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical