Individual provider Active NPI

Lauren Cassidy Jones, LCSW

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1124544689
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PO11484 Issued in NC
Practice address
2003 NC-54 Suite C
Durham, NC 27713-2771
Phone
(919) 682-5300
NPI assigned
Aug 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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 PO11484 NC Primary

Addresses

Primary practice location

2003 NC-54 Suite C
Durham, NC 27713-2771

Mailing address

5 Bluebird CT
Durham, NC 27713-8139
Phone (919) 699-9824

Other practice location 1

5809 Departure Dr Ste 106
Raleigh, NC 27616-1936
Phone (919) 872-6220

Other names 1

  • Mrs. Lauren Cassidy Jones Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PO11484NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Blooming Minds Therapy Clinical Current Accepting new patients
Upward Change Health Services, LLC PastSince Mar 21, 2021 Accepting new patients
Upward Change Health Services PastSince Mar 21, 2021 Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1124544689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BLUEBIRD CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277138139",
            "telephone_number": "919-699-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 NC-54 SUITE C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132771",
            "telephone_number": "919-682-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5809 Departure Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276161936",
            "country_code": "US",
            "telephone_number": "919-872-6220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "LAUREN",
        "middle_name": "CASSIDY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2021-03-18",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "PO11484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "JONES",
            "middle_name": "CASSIDY",
            "prefix": "MRS.",
            "credential": "LAUREN JONES, LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.