Active NPI
Mercedes Q Jones
- Clinical Social Worker
- Wilmington, OH
National Provider Identifier
1114584083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 953 S South St
Wilmington, OH 45177-2921 - Phone
- (937) 383-4441
- NPI assigned
- May 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Professional Counselor | 101YP2500X |
Addresses
Primary practice location
953 S South St
Wilmington, OH 45177-2921
Mailing address
3826 Palmerston Ave
Dayton, OH 45417-4331
Phone (937) 718-8583
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
601 S Edwin C Moses Blvd
Dayton, OH 45417-3424
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Behavioral Health, Inc. | Current | Accepting new patients | |
| Samaritan Behavioral Health, Inc. | Current | Accepting new patients | |
| Samaritan Behavioral Health, Inc. | Current | Accepting new patients |
Locations
601 S Edwin C Moses Blvd
Fl 4
Dayton, OH 45417
Phone (937) 734-8333
601 S Edwin C Moses Blvd
Dayton, OH 45417
Phone (937) 734-4310
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/sbhihelp/r4/
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 and National Provider Directory roles.
-
- Clinic/Center
- Dayton, OH
- NPI 1205888641
-
- Community/Behavioral Health Agency
- Dayton, OH
- NPI 1235490939
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Dayton, OH
- NPI 1629022330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558656000000",
"number": "1114584083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3826 PALMERSTON AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454174331",
"telephone_number": "937-718-8583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "953 S SOUTH ST",
"city": "WILMINGTON",
"state": "OH",
"postal_code": "451772921",
"telephone_number": "937-383-4441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "MERCEDES",
"middle_name": "Q",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-24",
"last_updated": "2019-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.