Provider Demographics
NPI:1205994886
Name:JONES, DARRELL WILLIAM (LCSW, BCD)
Entity type:Individual
Prefix:
First Name:DARRELL
Middle Name:WILLIAM
Last Name:JONES
Suffix:
Gender:M
Credentials:LCSW, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 BARNARD AVE SE
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29801-7203
Mailing Address - Country:US
Mailing Address - Phone:912-508-2582
Mailing Address - Fax:
Practice Address - Street 1:3524 JEFFERSON DAVIS HIGHWAY
Practice Address - Street 2:
Practice Address - City:GRANITEVILLE
Practice Address - State:SC
Practice Address - Zip Code:29829
Practice Address - Country:US
Practice Address - Phone:912-508-2582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC128061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical