Provider Demographics
NPI:1720191935
Name:JONES, RODNEY C (MSW,LCSW)
Entity Type:Individual
Prefix:MR
First Name:RODNEY
Middle Name:C
Last Name:JONES
Suffix:
Gender:M
Credentials:MSW,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 CARBONTON RD
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-4008
Mailing Address - Country:US
Mailing Address - Phone:919-776-9813
Mailing Address - Fax:919-776-9813
Practice Address - Street 1:115 CARBONTON RD
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-4008
Practice Address - Country:US
Practice Address - Phone:919-776-9813
Practice Address - Fax:919-776-9813
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0003291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6002476Medicaid
NC46772OtherBCBS
NC46772OtherBCBS