Individual provider Active NPI

L Parker Jones, LICSW

  • Clinical Social Worker
  • Newbury, MA
National Provider Identifier
1184780124
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1020654 Issued in MA
Practice address
65 Newburyport Turnpike
Newbury, MA 01951
Phone
(978) 499-2830
Fax
(978) 465-7474
NPI assigned
Dec 27, 2006
Last updated
Dec 9, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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 1020654 MA Primary

Addresses

Primary practice location

65 Newburyport Turnpike
Newbury, MA 01951

Mailing address

65 Newburyport Tpke
Newbury, MA 01951-1113
Phone (978) 499-2830

Other identifiers 4

IdentifierTypeStateIssuer
282820000OtherMAMAGELLAN
P06061MedicaidMA
5668222OtherMAAETNA
102065OtherMATNFTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20051110000464 MA Practitioner - Clinical Social Worker 6406874122 Practice locations: Newbury, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

65 Newburyport Tpke
Newbury, MA 01951-1113
Phone (978) 609-1066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1020654MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1184780124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 NEWBURYPORT TPKE",
            "city": "NEWBURY",
            "state": "MA",
            "postal_code": "019511113",
            "telephone_number": "978-499-2830",
            "fax_number": "978-465-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 NEWBURYPORT TURNPIKE",
            "city": "NEWBURY",
            "state": "MA",
            "postal_code": "01951",
            "telephone_number": "978-499-2830",
            "fax_number": "978-465-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "L",
        "middle_name": "PARKER",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1020654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "282820000",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P06061",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5668222",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TNFTS",
            "identifier": "102065",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury, MA

Sources for this page

Verify at the official NPI Registry.