Provider Demographics
NPI:1316534738
Name:JONES, JASMINE TEIRRA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JASMINE
Middle Name:TEIRRA
Last Name:JONES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:JASMINE
Other - Middle Name:TEIRRA
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1275 S CEDAR CREST BLVD STE 3A
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6207
Mailing Address - Country:US
Mailing Address - Phone:610-351-3477
Mailing Address - Fax:
Practice Address - Street 1:1275 S CEDAR CREST BLVD STE 3A
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6207
Practice Address - Country:US
Practice Address - Phone:610-351-3477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-31
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0239161041C0700X
PASW1372621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical