Provider Demographics
NPI:1255703369
Name:JONES, NISHA KARESE (LCSW)
Entity type:Individual
Prefix:
First Name:NISHA
Middle Name:KARESE
Last Name:JONES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9160 ESTATE THOMAS PMB 2120
Mailing Address - Street 2:
Mailing Address - City:ST. THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802-2120
Mailing Address - Country:US
Mailing Address - Phone:340-514-0256
Mailing Address - Fax:
Practice Address - Street 1:9160 ESTATE THOMAS PMB 2120
Practice Address - Street 2:
Practice Address - City:ST. THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-2120
Practice Address - Country:US
Practice Address - Phone:340-514-0256
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-28
Last Update Date:2015-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0052321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical