Jones, Marcus Goff
Jones, Marcus Goff is an individual health care provider with primary practice located at 1115 1St St Sw , Roanoke VA 24016-4701. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jones, Marcus Goff can be contacted via phone (540) 343-0004.Contact Information
Primary practice address
1115 1St St Sw
Roanoke VA 24016-4701
Phone: (540) 343-0004
Fax: (540) 343-1576
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904001648 | Virginia |
Profile Details
| NPI number | 1609826437 |
|---|---|
| LBN Legal business name | Jones, Marcus Goff |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Oct 4th, 2013 - about 12 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 | 1609826437 | NPPES |
| Virginia | Other | 0254953 | VALUE OPTIONS |
| Virginia | Other | 2174641 | VALUE OPTIONS |
| Virginia | Other | 396724 | VALUE OPTIONS |
| Virginia | Other | O84457 | VALUE OPTIONS |
| Virginia | MEDICAID | 008916641 | VALUE OPTIONS |
| Virginia | Other | 2016414 | VALUE OPTIONS |
| Virginia | Other | 243823000 | VALUE OPTIONS |
| Virginia | Other | 2120284 | VALUE OPTIONS |
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