Provider Demographics
NPI:1750443602
Name:JONES, DEVARDA C (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DEVARDA
Middle Name:C
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 1:17466 BAYOU BEND CIR
Mailing Address - Street 2:
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22025-5600
Mailing Address - Country:US
Mailing Address - Phone:202-368-3439
Mailing Address - Fax:
Practice Address - Street 1:17466 BAYOU BEND CIR
Practice Address - Street 2:
Practice Address - City:DUMFRIES
Practice Address - State:VA
Practice Address - Zip Code:22025-5600
Practice Address - Country:US
Practice Address - Phone:202-368-3439
Practice Address - Fax:202-368-3439
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA090-400-18721041C0700X
MD127941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical