Provider Demographics
NPI:1932459575
Name:JONES, JOE (BSW)
Entity Type:Individual
Prefix:
First Name:JOE
Middle Name:
Last Name:JONES
Suffix:
Gender:M
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 2ND ST NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102-1578
Mailing Address - Country:US
Mailing Address - Phone:505-884-4464
Mailing Address - Fax:505-884-0054
Practice Address - Street 1:700 2ND ST NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-1578
Practice Address - Country:US
Practice Address - Phone:505-884-4464
Practice Address - Fax:505-884-0054
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-11
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker