Provider Demographics
NPI:1508846700
Name:JONES, THOMAS SELBY (MSW)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:SELBY
Last Name:JONES
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 544
Mailing Address - Street 2:
Mailing Address - City:DIMONDALE
Mailing Address - State:MI
Mailing Address - Zip Code:48821-0544
Mailing Address - Country:US
Mailing Address - Phone:517-214-8907
Mailing Address - Fax:517-646-9103
Practice Address - Street 1:935 N WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48906-5137
Practice Address - Country:US
Practice Address - Phone:517-214-8907
Practice Address - Fax:517-646-9103
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-23
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4101006058106H00000X, 106H00000X
MI6801063517104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist