Provider Demographics
NPI:1588190466
Name:JONES, ROCHELLE (LLMSW)
Entity Type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8651 E OUTER DR
Mailing Address - Street 2:8651 EAST OUTER DRIVE
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48213-4001
Mailing Address - Country:US
Mailing Address - Phone:313-839-6704
Mailing Address - Fax:313-839-6704
Practice Address - Street 1:10 PETERBORO ST
Practice Address - Street 2:10 PETERBORO
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2722
Practice Address - Country:US
Practice Address - Phone:313-831-3160
Practice Address - Fax:313-826-0567
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010996321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical