Provider Demographics
NPI:1679627814
Name:JONES, LINDA MAY (MSW, ACSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:MAY
Last Name:JONES
Suffix:
Gender:F
Credentials:MSW, ACSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30018 S STATE ROUTE ZZ
Mailing Address - Street 2:
Mailing Address - City:CREIGHTON
Mailing Address - State:MO
Mailing Address - Zip Code:64739-9125
Mailing Address - Country:US
Mailing Address - Phone:816-862-6386
Mailing Address - Fax:
Practice Address - Street 1:WHITEMAN AIR FORCE BASE 509 MEDICAL GROUP
Practice Address - Street 2:331 SIJAN AVE
Practice Address - City:WHITEMAN AFB
Practice Address - State:MO
Practice Address - Zip Code:65305
Practice Address - Country:US
Practice Address - Phone:660-687-2188
Practice Address - Fax:660-687-4414
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOSW0010891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical