Individual provider Active NPI

Brittany Elaine Jones, LCSW

  • Clinical Social Worker
  • Mount Juliet, TN
National Provider Identifier
1205295110
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW0000007225 Issued in TN
Practice address
4012 Ethan Ave
Mount Juliet, TN 37122-1544
Phone
(931) 980-0699
NPI assigned
Feb 19, 2016
Last updated
Apr 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LSW0000007225 TN Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

4012 Ethan Ave
Mount Juliet, TN 37122-1544

Mailing address

PO Box 1263
Mount Juliet, TN 37121-1263
Phone (931) 980-0699

Other practice location 1

1 Highland Dr
Chalfont, PA 18914-2226
Phone (215) 997-9959

Other identifiers 1

IdentifierTypeStateIssuer
Q017979MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL joingracewellness.com Health Information Exchange (HIE)

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
LSW0000007225TNMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1205295110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1263",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371211263",
            "telephone_number": "931-980-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 ETHAN AVE",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371221544",
            "telephone_number": "931-980-0699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Highland Dr",
            "address_purpose": "LOCATION",
            "city": "Chalfont",
            "state": "PA",
            "postal_code": "189142226",
            "country_code": "US",
            "telephone_number": "215-997-9959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "BRITTANY",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-19",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000007225",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q017979",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "joingracewellness.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4012 Ethan Ave",
            "city": "Mount Juliet",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371221544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.