Individual provider Active NPI

Carolyn Louise Jones, LCSW

  • Clinical Social Worker
  • Twin Falls, ID
National Provider Identifier
1104078534
Registry record updated Nov 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-38387 Issued in ID
Practice address
139 River Vista PL Ste 201
Twin Falls, ID 83301-3060
Phone
(208) 421-0238
NPI assigned
Oct 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW38387 ID
Clinical Social Worker 1041C0700X LCSW-38387 ID Primary

Addresses

Primary practice location

139 River Vista PL Ste 201
Twin Falls, ID 83301-3060

Mailing address

4523 Kanaka CT
Buhl, ID 83316-5162
Phone (208) 421-0238

Other practice location 1

4523 Kanaka Ct
Buhl, ID 83316-5162
Phone (208) 421-0238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20190425002858 ID Practitioner - Clinical Social Worker 5698900280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

139 River Vista PL
Suite 201
Twin Falls, ID 83301-3060
Phone (208) 421-0238

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-38387IDMDClinical Social Worker
LCSW38387IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Take Heart Counseling Idaho CurrentSince May 6, 2023 Accepting new patients

Locations

139 River Vista Pl
Ste 201
Twin Falls, ID 83301
Phone (208) 421-0238

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": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700697600000",
    "number": "1104078534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4523 KANAKA CT",
            "city": "BUHL",
            "state": "ID",
            "postal_code": "833165162",
            "telephone_number": "208-421-0238",
            "fax_number": "208-501-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 RIVER VISTA PL STE 201",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013060",
            "telephone_number": "208-421-0238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4523 Kanaka Ct",
            "address_purpose": "LOCATION",
            "city": "Buhl",
            "state": "ID",
            "postal_code": "833165162",
            "country_code": "US",
            "telephone_number": "208-421-0238",
            "fax_number": "208-501-8593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "CAROLYN",
        "middle_name": "LOUISE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2023-11-23",
        "certification_date": "2023-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW38387",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-38387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.