Amanda Jones

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

7 Ledgebrook Dr Unit B
Mansfield Center, CT 06250-1664

Phone

(860) 456-0038

Fax

(860) 456-8765

NPI assigned

Apr 19, 2018

Last updated

Feb 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1295222834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 DAY HILL RD",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060951722",
            "telephone_number": "860-731-5522",
            "fax_number": "860-731-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 LEDGEBROOK DR UNIT B",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501664",
            "telephone_number": "860-456-0038",
            "fax_number": "860-456-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-19",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Buck Jabaily, DO
• Stephanie Joy Jacobs
• Cheryl L Jacques, APRN
• David A Jaworski, M.D.
• Thamara Vanessa Jonathas, APRN
• Gary Paul Kanabay, PSY.D.
• Jacqueline Vaccari Keating
• Ronald Wolz Kelly, M.D.
• Lorraine Marie Kenowski, MA, LPC
• Rachael Ann Kenowski, BSN, RN

• Clinical Social Worker in Mansfield Center, CT
• Providers in Mansfield Center, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.