Provider Demographics
NPI:1952879017
Name:JONES, DEBORAH (LICSW)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3599 FALLS TRL
Mailing Address - Street 2:
Mailing Address - City:WINSTON
Mailing Address - State:GA
Mailing Address - Zip Code:30187-1595
Mailing Address - Country:US
Mailing Address - Phone:301-847-9191
Mailing Address - Fax:
Practice Address - Street 1:3599 FALLS TRL
Practice Address - Street 2:
Practice Address - City:WINSTON
Practice Address - State:GA
Practice Address - Zip Code:30187-1595
Practice Address - Country:US
Practice Address - Phone:301-847-9191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-07
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14144104100000X
DCLC301716104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker