| Amanda Jones, Lcsw-s | |
|
9110 N Loop 1604 W Ste 104 San Antonio TX 78249-3397 | |
| (512) 595-1287 | |
| Not Available |
| Full Name | Amanda Jones, Lcsw-s |
|---|---|
| Speciality | Social Worker |
| Location | 9110 N Loop 1604 W Ste 104, San Antonio, Texas |
| Authorized Official Name and Position | Amanda Raye Jones (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2105969068 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Jones, Lcsw-s 9110 N Loop 1604 W Ste 104 San Antonio TX 78249-3397 Ph: (512) 595-1287 | Amanda Jones, Lcsw-s 9110 N Loop 1604 W Ste 104 San Antonio TX 78249-3397 Ph: (512) 595-1287 |
| NPI Number | 1972992535 |
|---|---|
| Provider Enumeration Date | 01/20/2015 |
| Last Update Date | 10/10/2024 |
| Certification Date | 10/10/2024 |
| Medicare PECOS PAC ID | 2769830033 |
|---|---|
| Medicare Enrollment ID | O20240109000650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972992535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amanda Raye Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508258930 PECOS PAC ID: 7214232909 Enrollment ID: I20160217001282 |
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