Individual provider Active NPI

Matthew Sean Jones, LCSW

  • Clinical Social Worker
  • Paris, TN
National Provider Identifier
1376898262
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW3457 Issued in TN
Practice address
408 Virginia St
Paris, TN 38242-5341
Phone
(731) 642-0521
Fax
(731) 642-1010
NPI assigned
Jul 17, 2012
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20120817000300 TN Practitioner - Clinical Social Worker 3678729027 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW3457TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carey Counseling Center, Inc. CurrentSince Jul 1, 2012 Accepting new patients

Locations

300 Highway 641 N
Camden, TN 38320
Phone (731) 584-6999

19410 Main St W
Huntingdon, TN 38344
Phone (731) 986-4411

457 Hannings Ln
Martin, TN 38237
Phone (731) 480-0011

408 Virginia St
Paris, TN 38242
Phone (731) 644-1753

1263 US Highway 45 Byp N
Trenton, TN 38382

1409 N Morgan St
Union City, TN 38261
Phone (731) 885-8810

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/careycounselingcenter/r4/

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW3457 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

408 Virginia St
Paris, TN 38242-5341

Mailing address

408 Virginia St
PO Box 30
Paris, TN 38242-5341
Phone (731) 642-0521

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 17, 2012.

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1376898262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 VIRGINIA ST",
            "address_2": "PO BOX 30",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382425341",
            "telephone_number": "731-642-0521",
            "fax_number": "731-642-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 VIRGINIA ST",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382425341",
            "telephone_number": "731-642-0521",
            "fax_number": "731-642-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MATTHEW",
        "middle_name": "SEAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LCSW3457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TN

Sources for this page

Verify at the official NPI Registry.