Provider Demographics
NPI:1922277144
Name:JONES, MEREDITH BALSAM (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:BALSAM
Last Name:JONES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:MEREDITH
Other - Middle Name:BALSAM
Other - Last Name:BARRETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 1566
Mailing Address - Street 2:340 CAMERON DRIVE
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27602-1566
Mailing Address - Country:US
Mailing Address - Phone:919-291-2441
Mailing Address - Fax:919-209-0226
Practice Address - Street 1:1662 BOOKER DAIRY RD
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-9405
Practice Address - Country:US
Practice Address - Phone:919-938-0046
Practice Address - Fax:919-938-0056
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-21
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0059331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical