Individual provider · Type 1 NPI

Kenyetta D. McIntosh-Jones, LCSW

Clinical Social Worker · Memphis, TN

NPI number 1003139635 Active

Practice location

1030 Jefferson Ave
Memphis, TN 38104-2127

Mailing address

2736 Greenmill Dr
Memphis, TN 38119-8304

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X5147 (TN)
Clinical Social Worker 1041C0700X2446-C (AR)
Clinical Social Worker 1041C0700X149013440 (IL)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1003139635

Kenyetta D. McIntosh-Jones, LCSW's National Provider Identifier is 1003139635, issued on Mar 10, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Memphis, TN. The record was last updated on Mar 10, 2010.