Provider Demographics
NPI:1538260146
Name:JONES, DANIELLE ANDREA (LSCSW, LCSW)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:ANDREA
Last Name:JONES
Suffix:
Gender:F
Credentials:LSCSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 E 63RD ST STE 200D
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64110-3371
Mailing Address - Country:US
Mailing Address - Phone:816-986-9790
Mailing Address - Fax:
Practice Address - Street 1:616 E 63RD ST STE 200D
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64110-3371
Practice Address - Country:US
Practice Address - Phone:816-986-9790
Practice Address - Fax:913-826-1589
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS20441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200443150AMedicaid
31598022OtherBCBS OF KC
31598022OtherBCBS OF KC