Amelia Jacokes, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904013582 Issued in VA

Practice address

712 West St
Charlottesville, VA 22903-4433

Phone

(404) 617-9584

NPI assigned

Feb 2, 2022

Last updated

Feb 2, 2022By 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

• Amelia Duncan Harmon Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1033862776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 WEST ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 WEST ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034433",
            "telephone_number": "404-617-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOKES",
        "first_name": "AMELIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://secure.simplepractice.com/calendar/appointments",
            "affiliation": "N",
            "endpointDescription": "Simple Practie",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "712 West St",
            "city": "Charlottesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229034433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMELIA",
            "last_name": "HARMON",
            "middle_name": "DUNCAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary A Jackson, LCSW
• Mary Jane Jackson, R.N., N.P.
• Megan Jackson, DC
• Nina Jackson, PT
• Patrick E Jackson, MD
• Jacqueline Carney DDS PC (Childrens Dentistry of Charlottesville)
• Beth Ann Jaeger-Landis, ACNP
• James M. Jaeger, M.D.
• Yousif Jafar
• Katherine Geer Jaffe, M.D.

• Clinical Social Worker in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.