Provider Demographics
NPI:1306374392
Name:JONES, ANNA TERESA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:TERESA
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 1:1261 E VOLTAIRE AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-4963
Mailing Address - Country:US
Mailing Address - Phone:602-703-5807
Mailing Address - Fax:
Practice Address - Street 1:8751 N 51ST AVE STE 121E
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85302-4941
Practice Address - Country:US
Practice Address - Phone:602-814-7580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-02
Last Update Date:2017-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-166641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical