Provider Demographics
NPI:1164058517
Name:JONES, CHELSEY LINN (LCSW)
Entity Type:Individual
Prefix:
First Name:CHELSEY
Middle Name:LINN
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 1:971 SWEETWOOD CT
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32065-8943
Mailing Address - Country:US
Mailing Address - Phone:904-881-5688
Mailing Address - Fax:
Practice Address - Street 1:971 SWEETWOOD CT
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32065-8943
Practice Address - Country:US
Practice Address - Phone:904-881-5688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-18
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040108401041C0700X
GACSW0069871041C0700X
FLSW162591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical