Provider Demographics
NPI:1306135884
Name:JONES OWUSU, AZIZA ESHE (MSW, LCSW, LCSW-C)
Entity type:Individual
Prefix:MRS
First Name:AZIZA
Middle Name:ESHE
Last Name:JONES OWUSU
Suffix:
Gender:F
Credentials:MSW, LCSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7463 TANYARD KNOLL LN
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21060-8637
Mailing Address - Country:US
Mailing Address - Phone:410-701-0884
Mailing Address - Fax:
Practice Address - Street 1:7463 TANYARD KNOLL LN
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21060-8637
Practice Address - Country:US
Practice Address - Phone:410-701-0884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-05
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0067321041C0700X
MD236491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical