Provider Demographics
NPI:1689826182
Name:JONES, BRANDIE R (ASW)
Entity Type:Individual
Prefix:
First Name:BRANDIE
Middle Name:R
Last Name:JONES
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:BRANDIE
Other - Middle Name:R
Other - Last Name:GENSHOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:109 4TH ST
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95501-0325
Mailing Address - Country:US
Mailing Address - Phone:707-442-4322
Mailing Address - Fax:
Practice Address - Street 1:109 4TH ST
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-0325
Practice Address - Country:US
Practice Address - Phone:707-442-4322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-15
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical