Individual provider Active NPI

Samone James, SW

  • Clinical Social Worker
  • Birmingham, AL
National Provider Identifier
1275170177
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6095C Issued in AL
Practice address
633 Tuscaloosa Ave SW
Birmingham, AL 35211-1637
Phone
(205) 235-4003
Fax
(205) 941-8071
NPI assigned
Dec 10, 2019
Last updated
Mar 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 4910G AL
Clinical Social Worker 1041C0700X 6095C AL Primary

Addresses

Primary practice location

633 Tuscaloosa Ave SW
Birmingham, AL 35211-1637

Mailing address

PO Box 746063
Atlanta, GA 30374-6063
Phone (312) 733-9730

Other practice location 1

5947 Highway 269
Parrish, AL 35580-3847
Phone (205) 686-5113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250313003261 AL Practitioner - Clinical Social Worker 3375065824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4910GALMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1275170177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746063",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746063",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 TUSCALOOSA AVE SW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111637",
            "telephone_number": "205-235-4003",
            "fax_number": "205-941-8071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5947 Highway 269",
            "address_purpose": "LOCATION",
            "city": "Parrish",
            "state": "AL",
            "postal_code": "355803847",
            "country_code": "US",
            "telephone_number": "205-686-5113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMES",
        "first_name": "SAMONE",
        "credential": "SW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "4910G",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "6095C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.