Provider Demographics
NPI:1093913733
Name:JONES-COLE, SHONTA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SHONTA
Middle Name:
Last Name:JONES-COLE
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 1:22048 SHERMAN WAY STE 115
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-1893
Mailing Address - Country:US
Mailing Address - Phone:646-694-2434
Mailing Address - Fax:818-350-2988
Practice Address - Street 1:22048 SHERMAN WAY STE 115
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-1893
Practice Address - Country:US
Practice Address - Phone:646-694-2434
Practice Address - Fax:818-350-2988
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8323-C1041C0700X
CALCS 280981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical