Individual provider Active NPI

Carla McCullough Jones, L.M.S.W

  • Social Worker
  • Columbia, TN
National Provider Identifier
1184090094
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LSW0000006070 Issued in TN
Practice address
211 Wayne St
Columbia, TN 38401-4526
Phone
(931) 560-3075
NPI assigned
Aug 14, 2015
Last updated
Aug 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LSW0000006070 TN Primary

Addresses

Primary practice location

211 Wayne St
Columbia, TN 38401-4526

Mailing address

1324 Branchside CT
Thompsons Station, TN 37179-2305
Phone (615) 668-2404

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
LSW0000006070TNMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1184090094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 BRANCHSIDE CT",
            "city": "THOMPSONS STATION",
            "state": "TN",
            "postal_code": "371792305",
            "telephone_number": "615-668-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 WAYNE ST",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014526",
            "telephone_number": "931-560-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH JONES",
        "first_name": "CARLA",
        "credential": "L.M.S.W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "LSW0000006070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.