Provider Demographics
NPI:1760019467
Name:JONES, RUTH MARIE (LIMHP, LMSW)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:MARIE
Last Name:JONES
Suffix:
Gender:F
Credentials:LIMHP, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 E 41ST ST
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68847-2616
Mailing Address - Country:US
Mailing Address - Phone:308-627-2883
Mailing Address - Fax:
Practice Address - Street 1:703 E 41ST ST
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-2616
Practice Address - Country:US
Practice Address - Phone:308-627-2883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-24
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2359101YM0800X
NE19071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health