Provider Demographics
NPI:1689704223
Name:JONES, CINDY ANN (LCSW)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:ANN
Last Name:JONES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:568 S MAIN ST # 121
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-3466
Mailing Address - Country:US
Mailing Address - Phone:435-586-4568
Mailing Address - Fax:435-586-4939
Practice Address - Street 1:429 W 400 S STE D
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720-3193
Practice Address - Country:US
Practice Address - Phone:435-586-4568
Practice Address - Fax:435-586-4939
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT138871-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT81927OtherPEHP PROVIDER NUMBER
UT81927OtherPEHP PROVIDER NUMBER