Provider Demographics
NPI:1356158307
Name:JONES, MARIAH DERAMO (LCSW)
Entity type:Individual
Prefix:
First Name:MARIAH
Middle Name:DERAMO
Last Name:JONES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MARIAH
Other - Middle Name:DANIELLE
Other - Last Name:DERAMO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:590 PALIO CT
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-5032
Mailing Address - Country:US
Mailing Address - Phone:941-323-1999
Mailing Address - Fax:
Practice Address - Street 1:590 PALIO CT
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-5032
Practice Address - Country:US
Practice Address - Phone:941-323-1999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-13
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW235461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical