Active NPI
Nichelle Renee Jones, LCSW
- Clinical Social Worker
- East Stroudsburg, PA
National Provider Identifier
1003945700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW015018
- Practice address
- 529 Seven Bridge Rd Ste 105
East Stroudsburg, PA 18301-7937 - Phone
- (570) 424-1768
- Fax
- (888) 862-7310
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 064349 | NY | |
| Clinical Social Worker | 1041C0700X | CW015018 | PA | Primary |
Addresses
Primary practice location
529 Seven Bridge Rd Ste 105
East Stroudsburg, PA 18301-7937
Mailing address
387 Lake Rd
Tobyhanna, PA 18466-8038
Phone (570) 839-4011
Other practice location 1
425 Carlton Rd
Ste 101
Mount Pocono, PA 18344-7180
Phone (570) 243-8585
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CW015018 | Other | PA | LCSW |
| 101401517003 | Medicaid | PA |
Other names 1
- Nichelle Renee Barrington
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW015018 | PA | MD | Clinical Social Worker |
| 064349 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1003945700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "387 LAKE RD",
"city": "TOBYHANNA",
"state": "PA",
"postal_code": "184668038",
"telephone_number": "570-839-4011",
"fax_number": "888-862-7310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 SEVEN BRIDGE RD STE 105",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183017937",
"telephone_number": "570-424-1768",
"fax_number": "888-862-7310"
}
],
"practiceLocations": [
{
"address_1": "425 Carlton Rd",
"address_2": "Ste 101",
"address_purpose": "LOCATION",
"city": "Mount Pocono",
"state": "PA",
"postal_code": "183447180",
"country_code": "US",
"telephone_number": "570-243-8585",
"fax_number": "888-862-7310",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "NICHELLE",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "064349",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW015018",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "CW015018",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101401517003",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NICHELLE",
"last_name": "BARRINGTON",
"middle_name": "RENEE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in East Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.