Individual provider Active NPI

Keith Matthew Jones, LICSW

  • Clinical Social Worker
  • North Adams, MA
National Provider Identifier
1366754046
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
124784 Issued in MA
Practice address
184 E Main St
North Adams, MA 01247-4404
Phone
(413) 398-2929
NPI assigned
Jul 9, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 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 124784 MA Primary

Addresses

Primary practice location

184 E Main St
North Adams, MA 01247-4404

Mailing address

184 E Main St
North Adams, MA 01247-4404
Phone (413) 398-2929

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
I20220412002509 MA Practitioner - Clinical Social Worker 6800282203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimal Healing LLCGroup PAC ID 1456716521, 6 clinicians

Practice addresses (Care Compare)

184 E Main St
North Adams, MA 01247-4404
Phone (413) 398-2929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Healing LLC Clinical CurrentSince May 29, 2022 Accepting new patients
Optimal Healing LLC CurrentSince Apr 10, 2024 Accepting new patients
Massachusetts Society for the Prevention of Cruelty to Children Past Accepting new patients

Locations

184 E Main St
North Adams, MA 01247
Phone (413) 346-4505

Organizations & group practices 3

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": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1366754046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 E MAIN ST",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012474404",
            "telephone_number": "413-398-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 E MAIN ST",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012474404",
            "telephone_number": "413-398-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KEITH",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-09",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "124784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Adams, MA

Sources for this page

Verify at the official NPI Registry.