Nikole Smalls Jones, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17753 Issued in MD

Practice address

VA Medical Center C/O Mental Health Service Line #116
Ave D. Building 364
Perryville, MD 21902

Phone

(410) 642-2411

Fax

(410) 642-1707

NPI assigned

Sep 8, 2006

Last updated

Dec 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Clinical Social Worker

Education

Howard University College of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Safe Harbor Behavioral Care LLCGroup PAC ID 0345514675, 81 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Safe Harbor Behavioral Care, LLC

  • Clinical Social Worker
  • Bel Air, MD
  • NPI 1316487879
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1144324567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VA MEDICAL CENTER C/O MENTAL HEALTH SERVICE LINE #116",
            "address_2": "PERRY POINT VA MEDICAL CENTER AVE D. BUILDING 364",
            "city": "PERRYVILLE",
            "state": "MD",
            "postal_code": "21902",
            "telephone_number": "410-642-2411",
            "fax_number": "410-642-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA MEDICAL CENTER C/O MENTAL HEALTH SERVICE LINE #116",
            "address_2": "AVE D. BUILDING 364",
            "city": "PERRYVILLE",
            "state": "MD",
            "postal_code": "21902",
            "telephone_number": "410-642-2411",
            "fax_number": "410-642-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "NIKOLE",
        "middle_name": "SMALLS",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-08",
        "last_updated": "2020-12-02",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078117",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Harmon, DPT
• Carrie Leonne Haught, RN/DN/CM/ALM
• Sheri Lynn Haupt, RPH
• Healing Hearts Therapeutic Services
• Brandon Scott Ho, DPT
• Key Point Health Services, Inc
• Key Point Health Services, Inc
• Deborah Anne Kollmann, LCSW-C, CADC
• Janette Kroenke, NP
• Lee Ann Nelson Physical Therapy LLC

• Clinical Social Worker in Perryville, MD
• Providers in Perryville, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.

Verify at the official NPI Registry.