Provider Demographics
NPI:1952102469
Name:JONES, OMAR DEON (LGSW, LMSW)
Entity type:Individual
Prefix:
First Name:OMAR
Middle Name:DEON
Last Name:JONES
Suffix:
Gender:
Credentials:LGSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4516 REAMY DR
Mailing Address - Street 2:
Mailing Address - City:SUITLAND
Mailing Address - State:MD
Mailing Address - Zip Code:20746-3746
Mailing Address - Country:US
Mailing Address - Phone:806-438-1654
Mailing Address - Fax:
Practice Address - Street 1:4516 REAMY DR
Practice Address - Street 2:
Practice Address - City:SUITLAND
Practice Address - State:MD
Practice Address - Zip Code:20746-3746
Practice Address - Country:US
Practice Address - Phone:806-438-1654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLG50081508104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker