Provider Demographics
NPI:1689627416
Name:JONES, GEORGIA ANN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:GEORGIA
Middle Name:ANN
Last Name:JONES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:GEORGIA
Other - Middle Name:A
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW LLC
Mailing Address - Street 1:4190 S HIGHLAND DR STE 208
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84124-2675
Mailing Address - Country:US
Mailing Address - Phone:801-278-8357
Mailing Address - Fax:801-272-0779
Practice Address - Street 1:4190 S HIGHLAND DR STE 208
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84124-2675
Practice Address - Country:US
Practice Address - Phone:801-278-8357
Practice Address - Fax:801-272-0779
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12731035011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical