Provider Demographics
NPI:1275616559
Name:JONES, SUSAN B (LCSW)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:B
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:PO BOX 3134
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95992-3134
Mailing Address - Country:US
Mailing Address - Phone:530-671-5857
Mailing Address - Fax:530-751-9691
Practice Address - Street 1:1445 BUTTE HOUSE ROAD
Practice Address - Street 2:SUITE J
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993
Practice Address - Country:US
Practice Address - Phone:530-671-5857
Practice Address - Fax:530-751-9691
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALSW176271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical