Active NPI
Matthew Sean Jones, LCSW
- Clinical Social Worker
- Paris, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW3457
- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120817000300 | TN | Practitioner - Clinical Social Worker | 3678729027 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW3457 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carey Counseling Center, Inc. | Current | 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
- https://api.qualifacts.org/api/fhir/careycounselingcenter/r4/
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW3457 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.