Active NPI
Tanya Lee Jones, MSW
- Clinical Social Worker
- Lewistown, MO
National Provider Identifier
1124290846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.012946
- Practice address
- 105 East Quincy Street
Lewistown, MO 63452 - Phone
- (573) 215-2715
- NPI assigned
- Apr 2, 2008
- 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 | 2008023616 | MO | |
| Clinical Social Worker | 1041C0700X | 149.012946 | IL | Primary |
Addresses
Primary practice location
105 East Quincy Street
Lewistown, MO 63452
Mailing address
1025 Maine St
Quincy, IL 62301-4038
Phone (217) 222-6550
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
| License | State | Type | Specialty |
|---|---|---|---|
| 149.012946 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517788800000",
"number": "1124290846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 MAINE ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623014038",
"telephone_number": "217-222-6550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 EAST QUINCY STREET",
"city": "LEWISTOWN",
"state": "MO",
"postal_code": "63452",
"telephone_number": "573-215-2715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "TANYA",
"middle_name": "LEE",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-02",
"last_updated": "2018-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2008023616",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.012946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewistown, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.