Provider Demographics
NPI:1487026365
Name:JONES, EBONY N (LCSWA)
Entity type:Individual
Prefix:MS
First Name:EBONY
Middle Name:N
Last Name:JONES
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6475 HACKBERRY CREEK TRL
Mailing Address - Street 2:APT 1526
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-1459
Mailing Address - Country:US
Mailing Address - Phone:347-249-0741
Mailing Address - Fax:
Practice Address - Street 1:6475 HACKBERRY CREEK TRL
Practice Address - Street 2:APT 1526
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-1459
Practice Address - Country:US
Practice Address - Phone:347-249-0741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-30
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0100361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical