Provider Demographics
NPI:1437713823
Name:JONES-ACEVEDO, MIYOSHI (LSW)
Entity Type:Individual
Prefix:MRS
First Name:MIYOSHI
Middle Name:
Last Name:JONES-ACEVEDO
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:934 STERNER RD
Mailing Address - Street 2:
Mailing Address - City:HILLSIDE
Mailing Address - State:NJ
Mailing Address - Zip Code:07205-3006
Mailing Address - Country:US
Mailing Address - Phone:973-818-0875
Mailing Address - Fax:
Practice Address - Street 1:934 STERNER RD
Practice Address - Street 2:
Practice Address - City:HILLSIDE
Practice Address - State:NJ
Practice Address - Zip Code:07205-3006
Practice Address - Country:US
Practice Address - Phone:973-818-0875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-01
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty