Provider Demographics
NPI:1811709520
Name:JONES, STEVEN MATHEW
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:MATHEW
Last Name:JONES
Suffix:
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 1:235 FAWN DR
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21921-8118
Mailing Address - Country:US
Mailing Address - Phone:410-441-1435
Mailing Address - Fax:
Practice Address - Street 1:235 FAWN DR
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-8118
Practice Address - Country:US
Practice Address - Phone:410-441-1435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility