Kendra Marie Jones, LCSW/PIP
Individual provider Active NPI Clinical Social Worker · Irvington, AL
NPI 1821495920 · NPPES record last updated Dec 4, 2014
Key facts
- NPI
- 1821495920
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 3707C (AL)
- Practice address
- 12701 Padgett Switch Rd
Irvington, AL 36544-4011 - Phone
- (251) 824-2174
- Fax
- (251) 824-2286
- NPI assigned
- Dec 4, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3707C | AL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3707C | AL | Yes |
Addresses
Primary practice location
12701 Padgett Switch Rd
Irvington, AL 36544-4011
Mailing address
PO Box 769
Bayou la Batre, AL 36509-0769
Phone (251) 824-2174
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154-3707C | Other | AL | PIP LICENSE NUMBER |
| 3707C | Other | AL | LCSW NO. |
Other providers in Irvington, AL
- Aayushka Gurung
- Brittany Haberman
- Cheryl Berg Horn
- House of Philadelphia, Inc.
- Eliceia Dionne Jackson
- Laboratory Corporation of America Holdings
- Addason Ladnier
- Kayleigh Jade Ladnier
- Traci Leavines
- Tricia Wilson Lee
All providers in Irvington, AL · Clinical Social Worker in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.