Provider Demographics
NPI:1700644093
Name:JONES, LINDAN MARK (LMSW JD)
Entity Type:Individual
Prefix:
First Name:LINDAN
Middle Name:MARK
Last Name:JONES
Suffix:
Gender:M
Credentials:LMSW JD
Other - Prefix:
Other - First Name:LINDAN
Other - Middle Name:MARK
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:935 SHERIDAN DR
Mailing Address - Street 2:
Mailing Address - City:TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14150-6634
Mailing Address - Country:US
Mailing Address - Phone:716-474-4421
Mailing Address - Fax:
Practice Address - Street 1:587 DEERFIELD DR
Practice Address - Street 2:
Practice Address - City:NORTH TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14120-1824
Practice Address - Country:US
Practice Address - Phone:716-474-4421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY113676-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical