Active NPI
Kathryn A Jones, LCSW
- Clinical Social Worker
- Longview, TX
National Provider Identifier
1407987308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 22783
- Practice address
- 107 Woodbine PL
Longview, TX 75601-2912 - Phone
- (903) 758-2471
- Fax
- (903) 234-0862
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 22783 | TX | Primary |
Addresses
Primary practice location
107 Woodbine PL
Longview, TX 75601-2912
Mailing address
3115 Rouncival Dr
Longview, TX 75605-2526
Phone (903) 759-2135
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82071W | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22783 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407987308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3115 ROUNCIVAL DR",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756052526",
"telephone_number": "903-759-2135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 WOODBINE PL",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756012912",
"telephone_number": "903-758-2471",
"fax_number": "903-234-0862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KATHRYN",
"middle_name": "A",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "22783",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "82071W",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.