Provider Demographics
NPI:1225232275
Name:JONES, JOYCE JANETT (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:JANETT
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 1:396 THREE FORKS RD APT 1
Mailing Address - Street 2:
Mailing Address - City:WEST MEMPHIS
Mailing Address - State:AR
Mailing Address - Zip Code:72301-4243
Mailing Address - Country:US
Mailing Address - Phone:870-735-0424
Mailing Address - Fax:870-735-5401
Practice Address - Street 1:396 THREE FORKS RD APT 1
Practice Address - Street 2:
Practice Address - City:WEST MEMPHIS
Practice Address - State:AR
Practice Address - Zip Code:72301-4243
Practice Address - Country:US
Practice Address - Phone:870-735-0424
Practice Address - Fax:870-735-5401
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR137-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5S071Medicare ID - Type Unspecified