Provider Demographics
NPI:1093360620
Name:JONES, KAITLYN (LSCSW)
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:KAITLYN
Other - Middle Name:
Other - Last Name:DEMARANVILLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:25039 HAND RD
Mailing Address - Street 2:
Mailing Address - City:ATCHISON
Mailing Address - State:KS
Mailing Address - Zip Code:66002-4509
Mailing Address - Country:US
Mailing Address - Phone:913-775-3582
Mailing Address - Fax:
Practice Address - Street 1:4101 S 4TH ST
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048-5014
Practice Address - Country:US
Practice Address - Phone:913-682-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-09
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker