Provider Demographics
NPI:1972674737
Name:JONES, SANDRA E (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:SANDRA
Middle Name:E
Last Name:JONES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4513 RAINTREE CT
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76103-1127
Mailing Address - Country:US
Mailing Address - Phone:817-456-0959
Mailing Address - Fax:877-413-7297
Practice Address - Street 1:4513 RAINTREE CT
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76103-1127
Practice Address - Country:US
Practice Address - Phone:817-456-0959
Practice Address - Fax:877-413-7297
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX066211041C0700X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional