Provider Demographics
NPI:1518641646
Name:NOFOAGATOTO'A JONES, SINA FETU AO (LMSW)
Entity Type:Individual
Prefix:MS
First Name:SINA
Middle Name:FETU AO
Last Name:NOFOAGATOTO'A 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 1:3 BETHESDA METRO CTR STE 840
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-6311
Mailing Address - Country:US
Mailing Address - Phone:301-654-7770
Mailing Address - Fax:
Practice Address - Street 1:3 BETHESDA METRO CTR STE 840
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-6311
Practice Address - Country:US
Practice Address - Phone:202-688-9692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-09
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD30153104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty