Provider Demographics
NPI:1669037149
Name:JONES, CLODA ALICIA (LCSW, LPCC, PSYD)
Entity Type:Individual
Prefix:DR
First Name:CLODA
Middle Name:ALICIA
Last Name:JONES
Suffix:
Gender:F
Credentials:LCSW, LPCC, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:351 S HUDSON AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-3507
Mailing Address - Country:US
Mailing Address - Phone:626-396-3600
Mailing Address - Fax:
Practice Address - Street 1:3536 MCNALLY AVE
Practice Address - Street 2:
Practice Address - City:ALTADENA
Practice Address - State:CA
Practice Address - Zip Code:91001-3943
Practice Address - Country:US
Practice Address - Phone:626-807-3276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-09
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1683101Y00000X
CA225441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor