Provider Demographics
NPI:1558049312
Name:JONES, SHELITHA VONIC (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:SHELITHA
Middle Name:VONIC
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 1:713 CUMBERLAND DR
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-7385
Mailing Address - Country:US
Mailing Address - Phone:817-489-4023
Mailing Address - Fax:
Practice Address - Street 1:713 CUMBERLAND DR
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-7385
Practice Address - Country:US
Practice Address - Phone:817-489-4023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110104104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker