Active NPI
Bernadette Marie Jones
- Clinical Social Worker
- Portsmouth, VA
National Provider Identifier
1306978648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904000482
- Practice address
- 6224 Portsmouth Blvd
Suite 102
Portsmouth, VA 23701-1345 - Phone
- (757) 686-9028
- NPI assigned
- Mar 12, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904000482 | VA | Primary |
| Clinical Social Worker | 1041C0700X | I-2664 | NM | |
| Clinical Social Worker | 1041C0700X | 991139 | CO |
Addresses
Primary practice location
6224 Portsmouth Blvd
Suite 102
Portsmouth, VA 23701-1345
Mailing address
627 Nansemond St
Portsmouth, VA 23707-1111
Phone (757) 399-4267
Other names 1
- Bernadette Jones
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 |
|---|---|---|---|
| 991139 | CO | MD | Clinical Social Worker |
| I-2664 | NM | MD | Clinical Social Worker |
| 0904000482 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306978648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "627 NANSEMOND ST",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237071111",
"telephone_number": "757-399-4267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6224 PORTSMOUTH BLVD",
"address_2": "SUITE 102",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237011345",
"telephone_number": "757-686-9028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "BERNADETTE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904000482",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "I-2664",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "991139",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BERNADETTE",
"last_name": "JONES",
"credential": "L.C.S.W.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.