Provider Demographics
NPI:1134437106
Name:JONES, TIRA SMITH (LCSW)
Entity type:Individual
Prefix:MRS
First Name:TIRA
Middle Name:SMITH
Last Name:JONES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:TIRA
Other - Middle Name:ANN
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5741 FOXCROFT DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70128-2702
Mailing Address - Country:US
Mailing Address - Phone:504-339-8893
Mailing Address - Fax:
Practice Address - Street 1:7801 ALLSION RD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70126-1816
Practice Address - Country:US
Practice Address - Phone:504-339-8893
Practice Address - Fax:504-302-9186
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-23
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7667104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker