Jones, Nichelle Renee
Jones, Nichelle Renee is an sole proprietor health care provider with primary practice located at 529 Seven Bridge Rd Ste 105 , East Stroudsburg PA 18301-7937. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Jones, Nichelle Renee can be contacted via phone (570) 424-1768.Contact Information
Primary practice address
529 Seven Bridge Rd Ste 105
East Stroudsburg PA 18301-7937
Phone: (570) 424-1768
Fax: (888) 862-7310
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 064349 | New York |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW015018 | Pennsylvania |
Profile Details
NPI number | 1003945700 |
---|---|
LBN Legal business name | Jones, Nichelle Renee |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 6th, 2007 |
Last updated | Mar 17th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003945700 | NPPES |
Pennsylvania | Other | CW015018 | LCSW |
Pennsylvania | MEDICAID | 101401517003 | LCSW |
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