Provider Demographics
NPI:1811697923
Name:JONES, ALICIA (MSW, RCSWI)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:MSW, RCSWI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5360 ARIVA ST APT 308
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33812-4423
Mailing Address - Country:US
Mailing Address - Phone:863-535-7822
Mailing Address - Fax:
Practice Address - Street 1:5360 ARIVA ST APT 308
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33812-4423
Practice Address - Country:US
Practice Address - Phone:863-535-7822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-07
Last Update Date:2024-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW17581101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health