Individual provider Active NPI

Judith Jones

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1154771038
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5020 Issued in KS
Practice address
1421 E 2ND St N
Wichita, KS 67214-4119
Phone
(316) 252-1144
NPI assigned
Jun 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 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 5020 KS Primary

Addresses

Primary practice location

1421 E 2ND St N
Wichita, KS 67214-4119

Mailing address

1421 E 2ND St N
Wichita, KS 67214-4119
Phone (316) 252-1144

Other identifiers 1

IdentifierTypeStateIssuer
201134760AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20191007000564 KS Practitioner - Clinical Social Worker 7315278355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1421 E 2ND St N
Wichita, KS 67214-4119
Phone (316) 252-1144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5020KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Judi Jones Lscsw Lcac Chartered Clinical CurrentSince Nov 16, 2021 Accepting new patients
County of Sedgwick Past Accepting new patients
County of Sedgwick Past Accepting new patients

Locations

1421 E 2nd St N
Wichita, KS 67214
Phone (316) 685-9311

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": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1154771038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 E 2ND ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144119",
            "telephone_number": "316-252-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 E 2ND ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144119",
            "telephone_number": "316-252-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JUDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "5020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201134760A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.