Provider Demographics
NPI:1306352604
Name:JONES, TONI (LCSW)
Entity type:Individual
Prefix:
First Name:TONI
Middle Name:
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 1:5 N LAFAYETTE ST STE 3
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28150-5687
Mailing Address - Country:US
Mailing Address - Phone:980-552-9374
Mailing Address - Fax:980-552-9275
Practice Address - Street 1:5 N LAFAYETTE ST STE 3
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-5687
Practice Address - Country:US
Practice Address - Phone:980-552-9374
Practice Address - Fax:980-552-9275
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-21
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X
NCC0125401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health