Provider Demographics
NPI:1558097121
Name:URIAS, JAMAIKA JADE (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:JAMAIKA
Middle Name:JADE
Last Name:URIAS
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 1:918 CLOVER HILL LN
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-7919
Mailing Address - Country:US
Mailing Address - Phone:817-941-1255
Mailing Address - Fax:
Practice Address - Street 1:1650 W ROSEDALE ST STE 203
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-7400
Practice Address - Country:US
Practice Address - Phone:817-941-1255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-26
Last Update Date:2022-08-24
Deactivation Date:2022-07-26
Deactivation Code:
Reactivation Date:2022-08-24
Provider Licenses
StateLicense IDTaxonomies
TX66992104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker