1679627814 NPI number — MRS. LINDA MAY JONES MSW, ACSW, LCSW

Table of content: MRS. LINDA MAY JONES MSW, ACSW, LCSW (NPI 1679627814)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679627814 NPI number — MRS. LINDA MAY JONES MSW, ACSW, LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JONES
Provider First Name:
LINDA
Provider Middle Name:
MAY
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MSW, ACSW, LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679627814
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/11/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
30018 S STATE ROUTE ZZ
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CREIGHTON
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64739-9125
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
816-862-6386
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
WHITEMAN AIR FORCE BASE 509 MEDICAL GROUP
Provider Second Line Business Practice Location Address:
331 SIJAN AVE
Provider Business Practice Location Address City Name:
WHITEMAN AFB
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65305
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
660-687-2188
Provider Business Practice Location Address Fax Number:
660-687-4414
Provider Enumeration Date:
01/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  SW001089 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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