Provider Demographics
NPI:1184780124
Name:JONES, L PARKER (LICSW)
Entity type:Individual
Prefix:MS
First Name:L
Middle Name:PARKER
Last Name:JONES
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 NEWBURYPORT TPKE
Mailing Address - Street 2:
Mailing Address - City:NEWBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01951-1113
Mailing Address - Country:US
Mailing Address - Phone:978-499-2830
Mailing Address - Fax:978-465-7474
Practice Address - Street 1:65 NEWBURYPORT TURNPIKE
Practice Address - Street 2:
Practice Address - City:NEWBURY
Practice Address - State:MA
Practice Address - Zip Code:01951
Practice Address - Country:US
Practice Address - Phone:978-499-2830
Practice Address - Fax:978-465-7474
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10206541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA282820000OtherMAGELLAN
MAP06061Medicaid
MA5668222OtherAETNA
MA102065OtherTNFTS
MA5668222OtherAETNA