Individual provider Active NPI

Robert L Jones, LCSW

  • Clinical Social Worker
  • Killeen, TX
National Provider Identifier
1003998048
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 33139 Issued in TX
Practice address
1711 E Central Texas Expy
Suite 302
Killeen, TX 76541-9166
Phone
(254) 200-0083
Fax
(254) 200-0084
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW 33139 TX Primary

Addresses

Primary practice location

1711 E Central Texas Expy
Suite 302
Killeen, TX 76541-9166

Mailing address

1711 E Central Texas Expy
Suite 302
Killeen, TX 76541-9166
Phone (254) 200-0083

Other identifiers 1

IdentifierTypeStateIssuer
1037574-01MedicaidTX

Other names 1

  • Mr. Bob L Jones Professional name

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

LicenseStateTypeSpecialty
LCSW 33139TXMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1003998048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 E CENTRAL TEXAS EXPY",
            "address_2": "SUITE 302",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765419166",
            "telephone_number": "254-200-0083",
            "fax_number": "254-200-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 E CENTRAL TEXAS EXPY",
            "address_2": "SUITE 302",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765419166",
            "telephone_number": "254-200-0083",
            "fax_number": "254-200-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "LCSW  33139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1037574-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOB",
            "last_name": "JONES",
            "middle_name": "L",
            "prefix": "MR.",
            "credential": "LCSW, TX # 33139",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.