Active NPI
Stacy Ezell Jones, LCSW, LCADC
- Clinical Social Worker
- Hopkinsville, KY
National Provider Identifier
1295223790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4081
- Practice address
- 517 N Elm St
Hopkinsville, KY 42240-2416 - Phone
- (270) 350-2776
- NPI assigned
- Apr 30, 2018
- Last updated
- Apr 30, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4081 | KY | Primary |
Addresses
Primary practice location
517 N Elm St
Hopkinsville, KY 42240-2416
Mailing address
517 N Elm St
Hopkinsville, KY 42240-2416
Phone (270) 350-2776
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4081 | KY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525046400000",
"number": "1295223790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 N ELM ST",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422402416",
"telephone_number": "270-350-2776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 N ELM ST",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422402416",
"telephone_number": "270-350-2776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "STACY",
"middle_name": "EZELL",
"name_prefix": "Ms.",
"credential": "LCSW, LCADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-30",
"last_updated": "2018-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "4081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hopkinsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.