Provider Demographics
NPI:1750891198
Name:NAVARRE-JONES, MARK W (MDIV, LCSW)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:W
Last Name:NAVARRE-JONES
Suffix:
Gender:
Credentials:MDIV, LCSW
Other - Prefix:
Other - First Name:MARK
Other - Middle Name:
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1999 CAPRI DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30032-5209
Mailing Address - Country:US
Mailing Address - Phone:757-619-4592
Mailing Address - Fax:
Practice Address - Street 1:235 E PONCE DE LEON AVE STE 120
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-3412
Practice Address - Country:US
Practice Address - Phone:678-201-1311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-11
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW008901104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker