Provider Demographics
NPI:1801283130
Name:JONES, TEMIKA (MSW)
Entity type:Individual
Prefix:MRS
First Name:TEMIKA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 LAKE WIRE DR
Mailing Address - Street 2:SUITE 250
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33815-1519
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:20 LAKE WIRE DR
Practice Address - Street 2:SUITE 250
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33815-1519
Practice Address - Country:US
Practice Address - Phone:904-349-0336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-24
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker