Individual provider Active NPI

Shane Jones, LSCSW

  • Clinical Social Worker
  • Topeka, KS
National Provider Identifier
1053328542
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSCSW 1146 Issued in KS
Practice address
2704 NW Topeka Blvd
Ste D
Topeka, KS 66617-1143
Phone
(785) 266-7732
Fax
(702) 925-7052
NPI assigned
Aug 1, 2006
Last updated
Jul 1, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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 LSCSW 1146 KS Primary

Addresses

Primary practice location

2704 NW Topeka Blvd
Ste D
Topeka, KS 66617-1143

Mailing address

2704 NW Topeka Blvd
Ste D
Topeka, KS 66617-1143
Phone (785) 266-7732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2024 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSCSW 1146KSMDClinical Social Worker
1146KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shane Jones & Associates P.a. Clinical Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1053328542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 NW TOPEKA BLVD",
            "address_2": "STE D",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666171143",
            "telephone_number": "785-266-7732",
            "fax_number": "702-925-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 NW TOPEKA BLVD",
            "address_2": "STE D",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666171143",
            "telephone_number": "785-266-7732",
            "fax_number": "702-925-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SHANE",
        "name_prefix": "Mr.",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "LSCSW 1146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.