1144727231 NPI number — MRS. RONAKA LATRICE JONES DUNCAN MSW, LICSW, PIP

Table of content: DR. MARIA CAUNCA ISRAEL M.D. (NPI 1790906881)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144727231 NPI number — MRS. RONAKA LATRICE JONES DUNCAN MSW, LICSW, PIP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JONES DUNCAN
Provider First Name:
RONAKA
Provider Middle Name:
LATRICE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MSW, LICSW, PIP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
JONES DUNCAN
Provider Other First Name:
RONAKA
Provider Other Middle Name:
LATRICE
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSW, LICSW, PIP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1144727231
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/06/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11439 OAK ARBOR WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BUHL
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35446-8203
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
120-534-4295
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11439 OAK ARBOR WAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BUHL
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35446-8203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
53-442-9532
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/06/2018

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:  1241-3826C , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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