Provider Demographics
NPI:1912142092
Name:JONAS, ARIELLA (MSW)
Entity Type:Individual
Prefix:
First Name:ARIELLA
Middle Name:
Last Name:JONAS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:297 NE 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-5514
Mailing Address - Country:US
Mailing Address - Phone:561-572-1703
Mailing Address - Fax:
Practice Address - Street 1:297 NE 6TH AVE
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-5514
Practice Address - Country:US
Practice Address - Phone:561-572-1703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-03
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL47781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4778OtherREGISTERED CLINIAL SOCIAL WORK INTERN