Individual provider Active NPI

Katherine Elizabeth Jones, LISW-CP

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1255408035
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6904 Issued in SC
Practice address
6809 Fairview Rd
Charlotte, NC 28210-4195
Phone
(704) 365-7777
Fax
(803) 675-0951
NPI assigned
Nov 29, 2006
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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 6904 SC Primary

Addresses

Primary practice location

6809 Fairview Rd
Charlotte, NC 28210-4195

Mailing address

114 Woodland Dr
Clover, SC 29710-1543
Phone (803) 322-8032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070130000200 SC Practitioner - Clinical Social Worker 4880695170 Reassigns benefits to 1 organization
I20080505000545 NC Practitioner - Clinical Social Worker 4880695170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1721 Ebenezer Rd
Suite 215
Rock Hill, SC 29732-1119
Phone (803) 372-7222

6809 Fairview Rd
Charlotte, NC 28210-4195
Phone (704) 365-7777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6904SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Katherine Jones, Lisw-CP, LLC Clinical CurrentSince Aug 1, 2007 Accepting new patients
Ascension Behavioral Healthcare, P.a. PastSince Aug 15, 2007 Accepting new patients
Family Medicine & Psychiatry of the Carolinas at Rock Hill PC Clinical Past Accepting new patients
Daniel Pistone, MD PA Past Accepting new patients
Daniel Pistone MD PA Past Accepting new patients
Ascension Behavioral Healthcare PA Past Accepting new patients
The Saluda Counseling Services Center Inc. Clinical PastSince Apr 16, 2001 Accepting new patients

Locations

1717 Cleveland Ave
Charlotte, NC 28203
Phone (704) 334-4300

6809 Fairview Rd
Charlotte, NC 28210
Phone (704) 200-1122

1721 Ebenezer Rd
Ste 215
Rock Hill, SC 29732
Phone (803) 366-7404

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1255408035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 WOODLAND DR",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297101543",
            "telephone_number": "803-322-8032",
            "fax_number": "803-675-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6809 FAIRVIEW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282104195",
            "telephone_number": "704-365-7777",
            "fax_number": "803-675-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "6904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.