Provider Demographics
NPI:1194855759
Name:CINDY A. JONES, LCSW, P.C.
Entity Type:Organization
Organization Name:CINDY A. JONES, LCSW, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:A
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:435-586-4568
Mailing Address - Street 1:965 S MAIN ST STE 5
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-4315
Mailing Address - Country:US
Mailing Address - Phone:435-586-4568
Mailing Address - Fax:435-586-4939
Practice Address - Street 1:965 S MAIN ST STE 5
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720-4315
Practice Address - Country:US
Practice Address - Phone:435-586-4568
Practice Address - Fax:435-586-4939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1350461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT81927OtherPEHP PROVIDER NUMBER
UTHT005433-001OtherUHIN TRADING PARTNER #
UT81927OtherPEHP PROVIDER NUMBER
UT000058110Medicare PIN