Provider Demographics
NPI:1285236943
Name:BANKOLE-JONES, JOAN (MSW, LSW)
Entity type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:
Last Name:BANKOLE-JONES
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 FAIRFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-4305
Mailing Address - Country:US
Mailing Address - Phone:732-629-0394
Mailing Address - Fax:
Practice Address - Street 1:935 PARK AVE
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-3001
Practice Address - Country:US
Practice Address - Phone:908-312-3232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06236600104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker