Provider Demographics
NPI:1912202862
Name:JONES, JAMIE KEATON (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:KEATON
Last Name:JONES
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 CONNECTICUT AVE NW APT 436
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-2556
Mailing Address - Country:US
Mailing Address - Phone:917-856-0841
Mailing Address - Fax:
Practice Address - Street 1:3000 CONNECTICUT AVE NW APT 436
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-2556
Practice Address - Country:US
Practice Address - Phone:917-856-0841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-24
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500811831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical