Individual provider Active NPI

Sydney Jones, LCSW

  • Clinical Social Worker
  • Bowling Green, KY
National Provider Identifier
1063921385
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
255043 Issued in KY
Practice address
1719 Ashley Circle Suite LL1
Bowling Green, KY 42104-5486
Phone
(270) 970-1536
Fax
(000) 000-0000
NPI assigned
Sep 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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 255043 KY Primary

Addresses

Primary practice location

1719 Ashley Circle Suite LL1
Bowling Green, KY 42104-5486

Mailing address

1719 Ashley Cir Ste LL1
Bowling Green, KY 42104-5823
Phone (270) 970-1536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230717001999 KY Practitioner - Clinical Social Worker 7810357399 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
255043KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Action, Inc Clinical CurrentSince Jun 29, 2023 Accepting new patients

Locations

2501 Crossings Blvd
Ste 226
Bowling Green, KY 42104
Phone (270) 970-1536

1719 Ashley Cir
Ste LL1
Bowling Green, KY 42104
Phone (270) 970-1536

1719 Ashley Cir
Ste 1
Bowling Green, KY 42104
Phone (270) 970-1536

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1063921385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 ASHLEY CIR STE LL1",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045823",
            "telephone_number": "270-970-1536",
            "fax_number": "270-387-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 ASHLEY CIRCLE SUITE LL1",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045486",
            "telephone_number": "270-970-1536",
            "fax_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SYDNEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-29",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.