Provider Demographics
NPI:1649894064
Name:JONES, SHENESE (LCSW)
Entity type:Individual
Prefix:
First Name:SHENESE
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:SHENESE
Other - Middle Name:
Other - Last Name:STASZKIEWICZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:9401 S KOSTNER AVE
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-2697
Mailing Address - Country:US
Mailing Address - Phone:708-423-7882
Mailing Address - Fax:708-423-0343
Practice Address - Street 1:9401 S KOSTNER AVE
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2697
Practice Address - Country:US
Practice Address - Phone:708-423-7882
Practice Address - Fax:708-423-0434
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-01
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801099743104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker