Provider Demographics
NPI:1801071436
Name:JONES, LINDA FAYE
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:FAYE
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:FAYE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:2430 POPLAR AVE
Mailing Address - Street 2:C/O FAMILY SERVICES OF THE MID-SOUTH
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38112-3246
Mailing Address - Country:US
Mailing Address - Phone:901-324-3647
Mailing Address - Fax:901-324-9114
Practice Address - Street 1:2430 POPLAR AVE
Practice Address - Street 2:C/O FAMILY SERVICES OF THE MID-SOUTH
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38112-3246
Practice Address - Country:US
Practice Address - Phone:901-324-3647
Practice Address - Fax:901-324-9114
Is Sole Proprietor?:No
Enumeration Date:2008-01-02
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW00000010121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical