Provider Demographics
NPI:1114374519
Name:JONES, STEPHANIE L
Entity Type:Individual
Prefix:MISS
First Name:STEPHANIE
Middle Name:L
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:SWANSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02777-4559
Mailing Address - Country:US
Mailing Address - Phone:774-644-9062
Mailing Address - Fax:
Practice Address - Street 1:635 ROGERS ST
Practice Address - Street 2:SUITE NUMBER 9
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-3855
Practice Address - Country:US
Practice Address - Phone:978-455-9636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-16
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker