Provider Demographics
NPI:1831112010
Name:LONEY, JOHN ROBERT (LCSW)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:ROBERT
Last Name:LONEY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4509 E PATRICIA ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-1614
Mailing Address - Country:US
Mailing Address - Phone:520-326-9676
Mailing Address - Fax:520-873-3966
Practice Address - Street 1:350 N WILMOT RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-2678
Practice Address - Country:US
Practice Address - Phone:520-873-5022
Practice Address - Fax:520-873-3966
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSW008711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical