Provider Demographics
NPI:1265401517
Name:JONES, REBECCA M (LCSW)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:M
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:PO BOX 1053
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59624-1053
Mailing Address - Country:US
Mailing Address - Phone:406-449-7677
Mailing Address - Fax:
Practice Address - Street 1:25 S EWING ST
Practice Address - Street 2:STE 105
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-5938
Practice Address - Country:US
Practice Address - Phone:406-449-7677
Practice Address - Fax:406-933-5656
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-17
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT585 LCSW1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT70016OtherBLUE CROSS BLUE SHIELD
MT0504033Medicaid