Active NPI
Cristyn Jene' Jones, LLMSW
- Social Worker
- Westland, MI
National Provider Identifier
1326511866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6851110219
- Practice address
- 35300 Nankin Blvd.
Westland, MI 48185 - Phone
- (734) 752-1473
- NPI assigned
- Jan 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6851110219 | MI | Primary |
| Case Manager/Care Coordinator | 171M00000X | MI |
Addresses
Primary practice location
35300 Nankin Blvd.
Westland, MI 48185
Mailing address
30525 Pardo Ave
Garden City, MI 48135
Phone (734) 752-1473
Other names 1
- Cristyn Jene' Colvard
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 |
|---|---|---|---|
| 6851110219 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Guidance Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Southgate, MI
- NPI 1609947027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1326511866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30525 PARDO AVE",
"city": "GARDEN CITY",
"state": "MI",
"postal_code": "48135",
"telephone_number": "734-752-1473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35300 NANKIN BLVD.",
"city": "WESTLAND",
"state": "MI",
"postal_code": "48185",
"telephone_number": "734-752-1473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "CRISTYN",
"middle_name": "JENE'",
"name_prefix": "Mrs.",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-08",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6851110219",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "MI",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRISTYN",
"last_name": "COLVARD",
"middle_name": "JENE'",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Westland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.