Active NPI
Tamra A Jones, LCSW
- Clinical Social Worker
- Beckley, WV
National Provider Identifier
1306500681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CP0094385
- Practice address
- 169 Arrow LN
Beckley, WV 25801-9427 - Phone
- (304) 890-5902
- NPI assigned
- Oct 24, 2021
- 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 | CP0094385 | WV | Primary |
Addresses
Primary practice location
169 Arrow LN
Beckley, WV 25801-9427
Mailing address
169 Arrow LN
Beckley, WV 25801-9427
Phone (304) 890-5902
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CP0094385 | Other | WV | LICENSING |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP0094385 | WV | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635033600000",
"number": "1306500681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 ARROW LN",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258019427",
"telephone_number": "304-890-5902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 ARROW LN",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258019427",
"telephone_number": "304-890-5902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "TAMRA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-24",
"last_updated": "2021-10-24",
"certification_date": "2021-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WV",
"license": "CP0094385",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSING",
"identifier": "CP0094385",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.