Jeffrey Janes, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

19575 Issued in AZ

Practice address

465 S Main St
Fredonia, AZ 86022-0200

Phone

(702) 701-3806

NPI assigned

Dec 29, 2010

Last updated

Jan 3, 2025By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Eagle Quest of Nevada

  • Foster Care Agency
  • Las Vegas, NV
  • NPI 1548553340
  NPD (past)

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1174827489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1987",
            "city": "PAGE",
            "state": "AZ",
            "postal_code": "860401987",
            "telephone_number": "702-701-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 S MAIN ST",
            "city": "FREDONIA",
            "state": "AZ",
            "postal_code": "860220200",
            "telephone_number": "702-701-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANES",
        "first_name": "JEFFREY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-29",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "19575",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "1078813-3501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Bridges, Inc. (CBI - Encompass Fredonia Outpatient)
• Encompass Health Services, Inc
• Guy Ronald Finicum
• Regina Heaton Finicum
• Fredonia-Moccasin Unified School District
• Diedra Y Kinne
• Thomas Charles Kinne II
• David Armstrong Lambert
• James Gray Millward, D.D.S.
• Re-Creation Retreat LLC

• Clinical Social Worker in Fredonia, AZ
• Providers in Fredonia, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.