Individual provider Active NPI

Laci Jones

  • Clinical Social Worker
  • Reform, AL
National Provider Identifier
1093341570
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
108 4TH Ave SW Ste a
Reform, AL 35481-8018
Phone
(205) 375-6251
NPI assigned
Mar 17, 2020
Last updated
Mar 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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 Primary

Addresses

Primary practice location

108 4TH Ave SW Ste a
Reform, AL 35481-8018

Mailing address

108 4TH Ave SW Ste a
Reform, AL 35481-8018
Phone (205) 375-6251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20200410002245 AL Practitioner - Clinical Social Worker 2264860451 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pickens County Primary Care, P.C Current Accepting new patients
Pickens County Primary Care PC CurrentSince Jul 8, 2021 Accepting new patients

Locations

630 4th St NW
Gordo, AL 35466
Phone (205) 364-0284

108 4th Ave SW
Ste A
Reform, AL 35481
Phone (205) 242-0580

205 4th Ave SE
Reform, AL 35481
Phone (205) 375-2304

815 7th Ave SW
Reform, AL 35481
Phone (205) 375-2438

Organizations & group practices 3

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": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1093341570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 4TH AVE SW STE A",
            "city": "REFORM",
            "state": "AL",
            "postal_code": "354818018",
            "telephone_number": "205-375-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 4TH AVE SW STE A",
            "city": "REFORM",
            "state": "AL",
            "postal_code": "354818018",
            "telephone_number": "205-375-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "LACI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reform, AL

Sources for this page

Verify at the official NPI Registry.