Provider Demographics
NPI:1407991508
Name:JONES, JENNIFER SPRADLEY (LCSW)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:SPRADLEY
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 1:5766 BALCONES DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4254
Mailing Address - Country:US
Mailing Address - Phone:512-380-9090
Mailing Address - Fax:
Practice Address - Street 1:5766 BALCONES DR
Practice Address - Street 2:SUITE 101
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4254
Practice Address - Country:US
Practice Address - Phone:512-380-9090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35914171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor