Organization Active NPI

Shannon T. Jones, LCSW, Inc.

  • Clinical Social Worker
  • Lake Park, FL
National Provider Identifier
1386935542
Registry record updated Apr 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SHANNON T. JONES, LCSW, INC.
Practice address
1408 N Killian Dr
Lake Park, FL 33403-1962
Phone
(561) 841-8860
NPI assigned
Apr 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2011

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

Authorized official

Name
Shannon T. Jones, LCSW
Title
President
Phone
(561) 841-8860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1408 N Killian Dr
Lake Park, FL 33403-1962

Mailing address

1408 N Killian Dr Ste 203
Lake Park, FL 33403-1961
Phone (561) 841-8860

National Provider Directory

National Provider Directory

Locations

1408 N Killian Dr
Ste 203
Lake Park, FL 33403
Phone (561) 841-8860

1408 N Killian Dr
West Palm Beach, FL 33403
Phone (561) 841-8860

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303430400000",
    "number": "1386935542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 N KILLIAN DR STE 203",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334031961",
            "telephone_number": "561-841-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 N KILLIAN DR",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334031962",
            "telephone_number": "561-841-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON T. JONES, LCSW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-22",
        "last_updated": "2011-04-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-841-8860",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.