Provider Demographics
NPI:1265029193
Name:JONES, LAURA O (MSW)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:O
Last Name:JONES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2310 PARKWOOD AVE APT C
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23220-5247
Mailing Address - Country:US
Mailing Address - Phone:540-272-4720
Mailing Address - Fax:
Practice Address - Street 1:2540 PROFESSIONAL RD STE 5
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-3213
Practice Address - Country:US
Practice Address - Phone:804-210-2402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-27
Last Update Date:2020-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical