Provider Demographics
NPI:1548039852
Name:JONES, BENJAMIN CLAGGETT
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:CLAGGETT
Last Name:JONES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 45TH ST NE APT 435
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-4685
Mailing Address - Country:US
Mailing Address - Phone:202-909-0219
Mailing Address - Fax:
Practice Address - Street 1:120 45TH ST NE APT 435
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-4685
Practice Address - Country:US
Practice Address - Phone:202-909-0219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health