Active NPI
Brittany Elaine Jones, LCSW
- Clinical Social Worker
- Mount Juliet, TN
National Provider Identifier
1205295110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LSW0000007225
- Practice address
- 4012 Ethan Ave
Mount Juliet, TN 37122-1544 - Phone
- (931) 980-0699
- NPI assigned
- Feb 19, 2016
- Last updated
- Apr 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q017979 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LSW0000007225 | TN | MD | Clinical 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.