Provider Demographics
NPI:1952734899
Name:JONES, ATAVIA LAVON (MSW)
Entity Type:Individual
Prefix:MS
First Name:ATAVIA
Middle Name:LAVON
Last Name:JONES
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 1:20 E ALISAL ST
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-3416
Mailing Address - Country:US
Mailing Address - Phone:831-796-1240
Mailing Address - Fax:
Practice Address - Street 1:20 E ALISAL ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3416
Practice Address - Country:US
Practice Address - Phone:831-796-1240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-14
Last Update Date:2020-04-03
Deactivation Date:2020-03-24
Deactivation Code:
Reactivation Date:2020-04-03
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical