Provider Demographics
NPI:1326208521
Name:JONES, LAWRENCE EDWARD (LMSW)
Entity Type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:EDWARD
Last Name:JONES
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2555 TRATMAN AVE
Mailing Address - Street 2:ROOM 211
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-3460
Mailing Address - Country:US
Mailing Address - Phone:718-863-6903
Mailing Address - Fax:718-863-6908
Practice Address - Street 1:2555 TRATMAN AVE
Practice Address - Street 2:ROOM 211
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-3460
Practice Address - Country:US
Practice Address - Phone:718-863-6903
Practice Address - Fax:718-863-6908
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072094-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical