Provider Demographics
NPI:1609926906
Name:JONES, LORI A (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:A
Last Name:JONES
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COVENTRY
Mailing Address - State:RI
Mailing Address - Zip Code:02816-5911
Mailing Address - Country:US
Mailing Address - Phone:401-826-7113
Mailing Address - Fax:401-826-3933
Practice Address - Street 1:341 S MAIN ST
Practice Address - Street 2:
Practice Address - City:COVENTRY
Practice Address - State:RI
Practice Address - Zip Code:02816-5911
Practice Address - Country:US
Practice Address - Phone:401-826-7113
Practice Address - Fax:401-826-3933
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW002101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI3658-6OtherBLUE CROSS BLUE SHIELD RI
RI550010007299OtherPACIFICARE
RI332649OtherBLUE CROSS HMO NEW ENGLAN
RI3658-6OtherFEDERAL BLUE CROSS
RI413419OtherVALUE OPTIONS
RI62-51637OtherUNITED HEALTHCARE
RI2081095OtherCIGNA BEHAVIORAL HEALTH
RI406865OtherBLUE CHIP
RIR64267Medicare UPIN
RI413419OtherVALUE OPTIONS