Whalio Doctors

NPI 1003139635

Kenyetta D. McIntosh-Jones, LCSW

Practitioner Clinical Social Worker Memphis, TN

Practice location

Address
1030 Jefferson Ave, Memphis, TN 38104-2127
Phone
(901) 523-8990
Mailing address
2736 Greenmill Dr, Memphis, TN 38119-8304

Registered specialties (3)

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 5147 (TN)
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 2446-C (AR)
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 149013440 (IL)

Registry record

NPI
1003139635
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 Mar 2010
Record last updated
10 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.