Krista M Jones, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1000083 Issued in OH

Practice address

347 Midway Blvd
Suite 204
Elyria, OH 44035-9006

Phone

(440) 324-4980

Fax

(440) 324-4987

NPI assigned

Jul 15, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Krista M Adamczyk Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1205066024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 LANDER RD",
            "city": "PEPPER PIKE",
            "state": "OH",
            "postal_code": "441245712",
            "telephone_number": "440-324-4980",
            "fax_number": "440-324-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 MIDWAY BLVD",
            "address_2": "SUITE 204",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440359006",
            "telephone_number": "440-324-4980",
            "fax_number": "440-324-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KRISTA",
        "middle_name": "M",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0701513",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1000083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0268768",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "ADAMCZYK",
            "middle_name": "M",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alicia Jones, RN
• Amanda Jones
• Ashley Jones
• Jennifer Marie Jones
• Kora Jones, LISW
• Marva A Jones, LPCC
• Nelroy G Jones, MD
• Rachel Jones, CNP
• Sheila Jones, MSN, APRN, PMHNP-BC
• Stefanie Nicole Jones

• Clinical Social Worker in Elyria, OH
• Providers in Elyria, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.