Provider Demographics
NPI:1912409228
Name:JONES, LAURA LEE (LCSW)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:LEE
Last Name:JONES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1923 E OXFORD DR
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-2345
Mailing Address - Country:US
Mailing Address - Phone:480-234-8893
Mailing Address - Fax:
Practice Address - Street 1:438 W. SEED FARM ROAD
Practice Address - Street 2:
Practice Address - City:SACATON
Practice Address - State:AZ
Practice Address - Zip Code:85283
Practice Address - Country:US
Practice Address - Phone:520-562-3321
Practice Address - Fax:602-528-1341
Is Sole Proprietor?:No
Enumeration Date:2018-03-02
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ13454104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker