Jones, Angela M

Jones, Angela M is an individual health care provider with primary practice located at 1239 E Main St , Bartow FL 33830-5058. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jones, Angela M can be contacted via phone (863) 519-0575.

Contact Information

Primary practice address
1239 E Main St Bartow FL 33830-5058
Fax: (863) 582-9251
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1518156835
LBN Legal business name Jones, Angela M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2007
Last updated Sep 30th, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518156835 NPPES
Florida MEDICAID 758740600

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