| Mark R. Jones, Lcsw, Llc | |
|
700 S Trenton Ave Pittsburgh PA 15221-3477 | |
| (412) 244-0960 | |
| (800) 811-0983 |
| Full Name | Mark R. Jones, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 700 S Trenton Ave, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Mark R. Jones (OWNER) |
| Authorized Official Contact | 4122440960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark R. Jones, Lcsw, Llc Po Box 53 Murrysville PA 15668-0053 Ph: (412) 244-0960 | Mark R. Jones, Lcsw, Llc 700 S Trenton Ave Pittsburgh PA 15221-3477 Ph: (412) 244-0960 |
| NPI Number | 1295991099 |
|---|---|
| Provider Enumeration Date | 07/31/2008 |
| Last Update Date | 07/31/2008 |
| Medicare PECOS PAC ID | 7517007909 |
|---|---|
| Medicare Enrollment ID | O20091215000697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295991099 | NPI | - | NPPES |
| 641940 | Other | PA | HIGHMARK BLUE SHIELD |
| 9P587 | Other | PA | EMPIRE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW001690L (Pennsylvania) | Primary |
| Provider Name | Mark R Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801989595 PECOS PAC ID: 8224069505 Enrollment ID: I20051006000556 |
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