Provider Demographics
NPI:1790575629
Name:JONES, THOMAS EARL III
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:EARL
Last Name:JONES
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13855 BURBANK BLVD APT 4
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-5012
Mailing Address - Country:US
Mailing Address - Phone:209-696-3193
Mailing Address - Fax:
Practice Address - Street 1:11425 MOORPARK ST
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91602-2009
Practice Address - Country:US
Practice Address - Phone:310-920-8544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker