Provider Demographics
NPI:1194049528
Name:JONES, ALBERT EDWIN (LCSW)
Entity type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:EDWIN
Last Name:JONES
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 S AVALON ST
Mailing Address - Street 2:
Mailing Address - City:WEST MEMPHIS
Mailing Address - State:AR
Mailing Address - Zip Code:72301-4183
Mailing Address - Country:US
Mailing Address - Phone:870-394-9577
Mailing Address - Fax:870-394-9575
Practice Address - Street 1:410 S AVALON ST
Practice Address - Street 2:
Practice Address - City:WEST MEMPHIS
Practice Address - State:AR
Practice Address - Zip Code:72301-4183
Practice Address - Country:US
Practice Address - Phone:870-394-9577
Practice Address - Fax:870-394-9575
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-13
Last Update Date:2010-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2372C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical