Provider Demographics
NPI:1497798383
Name:JONES, RUBY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:RUBY
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:RUBY
Other - Middle Name:
Other - Last Name:JONES-EPSTEIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:4116 S CARRIER PKWY
Mailing Address - Street 2:280-748
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-3200
Mailing Address - Country:US
Mailing Address - Phone:817-551-2973
Mailing Address - Fax:
Practice Address - Street 1:1555 MERRIMAC CIR
Practice Address - Street 2:SUITE 104
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-6530
Practice Address - Country:US
Practice Address - Phone:214-432-6552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX372121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX611962Medicare ID - Type Unspecified