Provider Demographics
NPI:1326417304
Name:JONES, JEFFREY H (LICSW)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:H
Last Name:JONES
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 MOUNT VERNON DR
Mailing Address - Street 2:APT. C
Mailing Address - City:VERNON
Mailing Address - State:CT
Mailing Address - Zip Code:06066-6537
Mailing Address - Country:US
Mailing Address - Phone:860-817-1240
Mailing Address - Fax:
Practice Address - Street 1:37 MOUNT VERNON DR
Practice Address - Street 2:APT. C
Practice Address - City:VERNON
Practice Address - State:CT
Practice Address - Zip Code:06066-6537
Practice Address - Country:US
Practice Address - Phone:860-817-1240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-19
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
RIISW037031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker