| Katherine Jones, Lisw-cp, Llc | |
|
1721 Ebenezer Rd Suite 215 Rock Hill SC 29732-4103 | |
| (803) 322-8032 | |
| Not Available |
| Full Name | Katherine Jones, Lisw-cp, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1721 Ebenezer Rd, Rock Hill, South Carolina |
| Authorized Official Name and Position | Katherine E Jones (OWNER) |
| Authorized Official Contact | 8033228032 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Jones, Lisw-cp, Llc 1717 Cleveland Ave Charlotte NC 28203-4735 Ph: (803) 322-8032 | Katherine Jones, Lisw-cp, Llc 1721 Ebenezer Rd Suite 215 Rock Hill SC 29732-4103 Ph: (803) 322-8032 |
| NPI Number | 1962692392 |
|---|---|
| Provider Enumeration Date | 08/01/2007 |
| Last Update Date | 01/13/2009 |
| Medicare PECOS PAC ID | 7618050667 |
|---|---|
| Medicare Enrollment ID | O20080213000650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962692392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Katherine E Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255408035 PECOS PAC ID: 4880695170 Enrollment ID: I20070130000200 |
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