Provider Demographics
NPI:1790261907
Name:JONES- BRANDON, CAMESHA LYNETTE (LCSW)
Entity type:Individual
Prefix:
First Name:CAMESHA
Middle Name:LYNETTE
Last Name:JONES- BRANDON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CAMESHA
Other - Middle Name:LYNETTE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:4747 S SAINT LAWRENCE AVE APT 2S
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-1522
Mailing Address - Country:US
Mailing Address - Phone:240-533-2876
Mailing Address - Fax:
Practice Address - Street 1:5022 S STATE ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60609-5328
Practice Address - Country:US
Practice Address - Phone:708-292-8730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-11
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0219521041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL149021952OtherLICENSE CLINICAL SOCIAL WORKER