Provider Demographics
NPI:1457448417
Name:JONES, JANICE L (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:L
Last Name:JONES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 W ROOSEVELT RD
Mailing Address - Street 2:BUILDING B-5, SUITE 103
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-5260
Mailing Address - Country:US
Mailing Address - Phone:630-462-1966
Mailing Address - Fax:630-510-0203
Practice Address - Street 1:100 W ROOSEVELT RD
Practice Address - Street 2:BUILDING B-5, SUITE 103
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-5260
Practice Address - Country:US
Practice Address - Phone:630-462-1966
Practice Address - Fax:630-510-0203
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical