Provider Demographics
NPI:1487024063
Name:JONES, TAMARA ELAINE (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:TAMARA
Middle Name:ELAINE
Last Name:JONES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 N INGLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-3933
Mailing Address - Country:US
Mailing Address - Phone:318-547-0887
Mailing Address - Fax:318-325-8749
Practice Address - Street 1:1210 STUBBS AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5622
Practice Address - Country:US
Practice Address - Phone:318-325-8748
Practice Address - Fax:318-325-8749
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-25
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 171M00000X
LA4804104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator