Individual provider Active NPI

Sandra McClain-Jones, LCSW

  • Clinical Social Worker
  • Joliet, IL
National Provider Identifier
1083936819
Registry record updated Feb 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.012390 Issued in IL
Practice address
311 N Ottawa St
Joliet, IL 60432-4048
Phone
(815) 774-9037
NPI assigned
Feb 21, 2010
Last updated
Feb 21, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2010

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 149.012390 IL Primary

Addresses

Primary practice location

311 N Ottawa St
Joliet, IL 60432-4048

Mailing address

311 N Ottawa St
Joliet, IL 60432-4048
Phone (815) 774-9037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.012390ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The St Francis Health Center Past Accepting new patients
University of St. Francis Past Accepting new patients

Organizations & group practices 2

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": "1266710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266710400000",
    "number": "1083936819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N OTTAWA ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604324048",
            "telephone_number": "815-774-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N OTTAWA ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604324048",
            "telephone_number": "815-774-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN-JONES",
        "first_name": "SANDRA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-21",
        "last_updated": "2010-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.012390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2010; 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.