Provider Demographics
NPI:1215965066
Name:JONES, ALICE FAYE (LCSW)
Entity type:Individual
Prefix:MS
First Name:ALICE
Middle Name:FAYE
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 1:408 BRANCH FOREST WAY
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-9600
Mailing Address - Country:US
Mailing Address - Phone:770-389-4570
Mailing Address - Fax:404-327-4972
Practice Address - Street 1:VA MEDICAL CENTER-NHCU
Practice Address - Street 2:1670 CLAIRMONT RD
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033
Practice Address - Country:US
Practice Address - Phone:404-321-6111
Practice Address - Fax:404-327-4972
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0027781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical