Provider Demographics
NPI:1083052799
Name:JONES, ANDREYA KATELIN (LCSW)
Entity Type:Individual
Prefix:
First Name:ANDREYA
Middle Name:KATELIN
Last Name:JONES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 CRABAPPLE DR
Mailing Address - Street 2:
Mailing Address - City:YORK HAVEN
Mailing Address - State:PA
Mailing Address - Zip Code:17370
Mailing Address - Country:US
Mailing Address - Phone:717-461-3304
Mailing Address - Fax:717-781-2613
Practice Address - Street 1:2601 N FRONT ST STE 105
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-1123
Practice Address - Country:US
Practice Address - Phone:717-461-3304
Practice Address - Fax:717-781-2613
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW129718104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker