Provider Demographics
NPI:1932587185
Name:JONES, STEWART (MSW, LICSW)
Entity type:Individual
Prefix:
First Name:STEWART
Middle Name:
Last Name:JONES
Suffix:
Gender:M
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8508 16TH ST
Mailing Address - Street 2:APT. 519
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-2969
Mailing Address - Country:US
Mailing Address - Phone:202-679-8448
Mailing Address - Fax:
Practice Address - Street 1:8508 16TH ST
Practice Address - Street 2:APT. 519
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-2969
Practice Address - Country:US
Practice Address - Phone:202-679-8448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-08
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC3034721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical