Provider Demographics
NPI:1841483294
Name:JONES, JAY JEFFREY (LCSW)
Entity type:Individual
Prefix:DR
First Name:JAY
Middle Name:JEFFREY
Last Name:JONES
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 963
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92586-0963
Mailing Address - Country:US
Mailing Address - Phone:951-848-9439
Mailing Address - Fax:951-848-9439
Practice Address - Street 1:28834 PORTSMOUTH DR
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:CA
Practice Address - Zip Code:92586-2624
Practice Address - Country:US
Practice Address - Phone:951-848-9439
Practice Address - Fax:951-848-9439
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS98121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical