Provider Demographics
NPI:1922306141
Name:JONES, KEISHELLE S (MSW)
Entity Type:Individual
Prefix:
First Name:KEISHELLE
Middle Name:S
Last Name:JONES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2520 WOODMERE BLVD
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-2151
Mailing Address - Country:US
Mailing Address - Phone:504-494-1378
Mailing Address - Fax:
Practice Address - Street 1:2520 WOODMERE BLVD
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-2151
Practice Address - Country:US
Practice Address - Phone:504-494-1378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-11
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker