Individual provider Active NPI

Heather Dawn Jones, LCSW

  • Clinical Social Worker
  • Medford, NJ
National Provider Identifier
1194491712
Registry record updated Sep 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05552500 Issued in NJ
Practice address
520 Stokes Rd Ste A5
Medford, NJ 08055-2904
Phone
(856) 223-2222
NPI assigned
Aug 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 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 44SC05552500 NJ Primary

Addresses

Primary practice location

520 Stokes Rd Ste A5
Medford, NJ 08055-2904

Mailing address

2225 Gianna Dr
Glassboro, NJ 08028-3461
Phone (609) 220-4711

Other practice location 1

2225 Gianna Dr
Glassboro, NJ 08028-3461
Phone (609) 220-4711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20250624000766 NJ Practitioner - Clinical Social Worker 2769994912 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05552500NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceful Practices Counseling LLC CurrentSince Apr 18, 2025 Accepting new patients

Locations

103 Old Marlton Pike
Ste 101
Medford, NJ 08055
Phone (609) 953-3440

520 Stokes Rd
Ste A5
Medford, NJ 08055
Phone (856) 223-2222

Organizations & group practices 1

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": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631318400000",
    "number": "1194491712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 GIANNA DR",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080283461",
            "telephone_number": "609-220-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 STOKES RD STE A5",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552904",
            "telephone_number": "856-223-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2225 Gianna Dr",
            "address_purpose": "LOCATION",
            "city": "Glassboro",
            "state": "NJ",
            "postal_code": "080283461",
            "country_code": "US",
            "telephone_number": "609-220-4711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "HEATHER",
        "middle_name": "DAWN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-09-11",
        "certification_date": "2021-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05552500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

Verify at the official NPI Registry.