Provider Demographics
NPI:1528394863
Name:JONES, BARRY L (MSW, LCSW)
Entity Type:Individual
Prefix:MR
First Name:BARRY
Middle Name:L
Last Name:JONES
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1618 MAHAN CENTER BLVD.,
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-5476
Mailing Address - Country:US
Mailing Address - Phone:850-656-1129
Mailing Address - Fax:850-656-1850
Practice Address - Street 1:1618 MAHAN CENTER BLVD.,
Practice Address - Street 2:SUITE 101
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5476
Practice Address - Country:US
Practice Address - Phone:850-656-1129
Practice Address - Fax:850-656-1850
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-21
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW20011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical