Mary Jones, Licensed Clinical Social Worker, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

004911 Issued in CT

Legal business name

MARY JONES, LICENSED CLINICAL SOCIAL WORKER, LLC

Practice address

210 Holabird Ave Ste 322
Winsted, CT 06098-1747

Phone

(860) 489-7499

NPI assigned

Feb 23, 2018

Last updated

Feb 23, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Jones, LCSWNPI 1316061427

Title

Member

Phone

(860) 489-7499

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

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.

• Mary E Jones, LCSW

  • Clinical Social Worker
  • Winsted, CT
  • NPI 1316061427
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519344000000",
    "number": "1083115117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 WINSTED RD UNIT 23",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067902946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 HOLABIRD AVE STE 322",
            "city": "WINSTED",
            "state": "CT",
            "postal_code": "060981747",
            "telephone_number": "860-489-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY JONES, LICENSED CLINICAL SOCIAL WORKER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-02-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-489-7499",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "004911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Carl Loiewski, D.O.
• Judy A Lydecker, LCSW LADC
• Thomas John Malatesta, DMD
• Fozia Manzoor
• Theodore Francis Marolda, DDS
• Suzette Maschi, LPC
• Matters of the Mind, LLC (The Practice On Main)
• McCall Foundation, Inc.
• Donna M McHugh, M.D.
• Measurable Progress Therapy, LLC

• Clinical Social Worker in Winsted, CT
• Providers in Winsted, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.