Individual
MISS SEBRINA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
076512
NY
1041C0700X
Clinical Social Worker
080542
NY
1041C0700X
Clinical Social Worker
Primary
14328
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080542
LICENSE NUMBER ISSUED BY NEW YORK STATE
NY
01
—
14328
LISW-CP
SC
Enumeration date
02/11/2010
Last updated
08/07/2023
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