Individual provider Active NPI

Tamara Devon Jones, LCSW

  • Clinical Social Worker
  • Memphis, TN
National Provider Identifier
1265719496
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0000005422 Issued in TN
Practice address
1910 Nonconnah Blvd
Suite #100
Memphis, TN 38132-2113
Phone
(901) 346-1270
Fax
(901) 346-1271
NPI assigned
Nov 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2013

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 0000005422 TN Primary

Addresses

Primary practice location

1910 Nonconnah Blvd
Suite #100
Memphis, TN 38132-2113

Mailing address

1910 Nonconnah Blvd
Suite #100
Memphis, TN 38132-2113
Phone (901) 346-1270

Other identifiers 1

IdentifierTypeStateIssuer
20-3858944MedicaidTN

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000005422TNMDClinical Social Worker
5422TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carelon Medical Partners of Arizona, P.C. Past Accepting new patients

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": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1265719496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 NONCONNAH BLVD",
            "address_2": "SUITE #100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381322113",
            "telephone_number": "901-346-1270",
            "fax_number": "901-346-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 NONCONNAH BLVD",
            "address_2": "SUITE #100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381322113",
            "telephone_number": "901-346-1270",
            "fax_number": "901-346-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "TAMARA",
        "middle_name": "DEVON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-16",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "0000005422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20-3858944",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.