Provider Demographics
NPI:1942747159
Name:JONES, CHINARIE (MSW, LCSW, MDIV)
Entity Type:Individual
Prefix:MS
First Name:CHINARIE
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:MSW, LCSW, MDIV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 TUXEDO PKWY
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07106-2822
Mailing Address - Country:US
Mailing Address - Phone:973-371-5133
Mailing Address - Fax:973-371-2250
Practice Address - Street 1:2130 MILLBURN AVE
Practice Address - Street 2:SUITE D-1
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040-3725
Practice Address - Country:US
Practice Address - Phone:973-763-8123
Practice Address - Fax:973-763-8243
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-25
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC051994001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical