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
Fax: (888) 862-7310
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003945700 NPPES
Pennsylvania Other CW015018 LCSW
Pennsylvania MEDICAID 101401517003 LCSW

Popular Providers