Provider Demographics
NPI:1447929575
Name:JONES, SHARITA MARSHA (MSW)
Entity type:Individual
Prefix:MRS
First Name:SHARITA
Middle Name:MARSHA
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 1:124 NEW HOPE ST
Mailing Address - Street 2:
Mailing Address - City:DYER
Mailing Address - State:TN
Mailing Address - Zip Code:38330-1310
Mailing Address - Country:US
Mailing Address - Phone:731-696-2753
Mailing Address - Fax:
Practice Address - Street 1:4095 DALE DR
Practice Address - Street 2:
Practice Address - City:MILAN
Practice Address - State:TN
Practice Address - Zip Code:38358-1635
Practice Address - Country:US
Practice Address - Phone:731-613-5742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-11
Last Update Date:2021-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool