Provider Demographics
NPI:1194800128
Name:JONES, LINDA JEAN (LCSW)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:JEAN
Last Name:JONES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 STUYVESANT OVAL
Mailing Address - Street 2:11B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009
Mailing Address - Country:US
Mailing Address - Phone:212-260-5364
Mailing Address - Fax:
Practice Address - Street 1:31 WASHINGTON SQUARE WEST
Practice Address - Street 2:SUITE 6F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011
Practice Address - Country:US
Practice Address - Phone:212-252-2379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0482901104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
P3610801OtherOXFORD HEALTH PLANS
P3610801OtherOXFORD HEALTH PLANS