Mary Eileen Southwick Jones, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW6913 Issued in FL

Practice address

4300 Marsh Landing Blvd Ste 204
Jacksonville Beach, FL 32250-1420

Phone

(904) 343-7668

Fax

(904) 273-1400

NPI assigned

Nov 7, 2006

Last updated

Jun 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Mary Eileen Southwick Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• William L Ross

  dba Amelia Psychological Services

  • Marriage & Family Therapist
  • Fernandina Beach, FL
  • NPI 1083834246

  Clinical

  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1033288824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3947 CATTAIL POND DRIVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32224",
            "telephone_number": "904-374-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 MARSH LANDING BLVD STE 204",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322501420",
            "telephone_number": "904-343-7668",
            "fax_number": "904-273-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHWICK JONES",
        "first_name": "MARY",
        "middle_name": "EILEEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "SOUTHWICK",
            "middle_name": "EILEEN",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Carlos M Sotolongo, MD
• Southeastern Hearing, Inc
• Southeastern Management, LLC
• Southeastern Medequip, Inc.
• Southern Baptist Hospital (Psychiatric and Psychological Care)
• Tayler Spang, PT, DPT
• Trudie R Spencer, LPTA
• Spinewell Disc & Joint Centers LLC (Disc Centers of America - Ponte Vedra)
• SS Fusion Medical, Inc.
• Grace Stec

• Clinical Social Worker in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.