Individual provider Active NPI

Cora Butler-Jones, LICSW

  • Clinical Social Worker
  • Worcester, MA
National Provider Identifier
1356525927
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
114212 Issued in MA
Practice address
370 Main St Ste 910
Worcester, MA 01608-1723
Phone
(508) 873-0277
Fax
(508) 797-5618
NPI assigned
Dec 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 114212 MA Primary

Addresses

Primary practice location

370 Main St Ste 910
Worcester, MA 01608-1723

Mailing address

19 Stockholm St
Worcester, MA 01607-1530
Phone (508) 873-0277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080114000280 MA Practitioner - Clinical Social Worker 0547341810 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Global Community Comprehensive Psychiatric CareGroup PAC ID 8921487208, 2 clinicians

Practice addresses (Care Compare)

370 Main St
Suite 910
Worcester, MA 01608-1723
Phone (508) 873-0277

416 Belmont St
Ofc
Worcester, MA 01604-1086
Phone (857) 701-5425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114212MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Global Community Comprehensive Psychiatric Care CurrentSince Sep 4, 2025 Accepting new patients
Sealy Mental Health Counseling Service Inc. CurrentSince Aug 26, 2024 Accepting new patients
New Bridge to Holistic Health LLC Clinical CurrentSince Dec 2, 2020 Accepting new patients
Vitaliy Medical Aesthetics PastSince Aug 28, 2022 Accepting new patients

Locations

28490 Avenue Stanford
#140
Valencia, CA 91355

416 Belmont St
Ofc
Worcester, MA 01604
Phone (857) 701-5425

370 Main St
Ste 910
Worcester, MA 01608
Phone (508) 873-0277

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1356525927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 STOCKHOLM ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016071530",
            "telephone_number": "508-873-0277",
            "fax_number": "508-797-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 MAIN ST STE 910",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081723",
            "telephone_number": "508-873-0277",
            "fax_number": "508-797-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER-JONES",
        "first_name": "CORA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.