Individual provider Active NPI

Carly Jones, LICSW

  • Clinical Social Worker
  • Spokane Valley, WA
National Provider Identifier
1154447704
Registry record updated May 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
200 N Mullan Rd
Ste 222
Spokane Valley, WA 99206-3793
Phone
(509) 590-3799
Fax
(509) 277-0136
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2018

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 Primary

Addresses

Primary practice location

200 N Mullan Rd
Ste 222
Spokane Valley, WA 99206-3793

Mailing address

200 N Mullan Rd
Ste 222
Spokane Valley, WA 99206-3793
Phone (509) 590-3799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20120913000053 WA Practitioner - Clinical Social Worker 2466600663 Practice locations: Spokane Valley, WA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525564800000",
    "number": "1154447704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N MULLAN RD",
            "address_2": "STE 222",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992063793",
            "telephone_number": "509-590-3799",
            "fax_number": "509-277-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MULLAN RD",
            "address_2": "STE 222",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992063793",
            "telephone_number": "509-590-3799",
            "fax_number": "509-277-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CARLY",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2018-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.