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Provider Information for 1679048359


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ELIZABETH L JONES LCSW-BACS


Sex: Female

NPI: 1679048359
Last Updated: 2023-06-15
Certification Date: 2023-06-06

Details

NameValue
NPI1679048359
Enumeration Date2018-10-09
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address PO BOX 3554
NEW ORLEANS, LA 70177-3554
United States

Phone: | Fax:
 
Primary Practice Address 3036 IBERVILLE ST.
NEW ORLEANS, LA 70119
United States

Phone: 504-324-7880 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalLA12818