Organization Active NPI

Judi Jones Lscsw Lcac Chartered

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1053077446
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JUDI JONES LSCSW LCAC CHARTERED
Practice address
1421 E 2ND St N
Wichita, KS 67214-4119
Phone
(316) 252-1144
Fax
(316) 330-3984
NPI assigned
Nov 10, 2021
Last updated
Nov 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Authorized official

Name
Judi Jones, LSCSW
Title
Owner
Phone
(316) 252-1144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

1421 E 2ND St N
Wichita, KS 67214-4119

Mailing address

1421 E 2ND St N
Wichita, KS 67214-4119
Phone (316) 252-1144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211130001382 KS Part B Supplier - Clinic/Group Practice 4486044757 Receives reassigned benefits from 1 practitioner
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1053077446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 E 2ND ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144119",
            "telephone_number": "316-252-1144",
            "fax_number": "316-330-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 E 2ND ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144119",
            "telephone_number": "316-252-1144",
            "fax_number": "316-330-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDI JONES LSCSW LCAC CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JUDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-252-1144",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.