Provider Demographics
NPI:1205296118
Name:JONES, OTERO DOLORES (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:OTERO
Middle Name:DOLORES
Last Name:JONES
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4703 BOXWOOD PLACE
Mailing Address - Street 2:
Mailing Address - City:MAYS LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:08330
Mailing Address - Country:US
Mailing Address - Phone:609-513-1074
Mailing Address - Fax:
Practice Address - Street 1:312 E WHITEHORSE PIKE
Practice Address - Street 2:
Practice Address - City:ADSECON
Practice Address - State:NJ
Practice Address - Zip Code:08208
Practice Address - Country:US
Practice Address - Phone:609-652-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-04
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical