Kathleen Diane Jones, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.014691 Issued in IL

Practice address

6320 N Sheridan Rd Ste B
Peoria, IL 61614-3053

Phone

(309) 339-9211

Fax

(309) 691-2530

NPI assigned

Jul 1, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Katie Jones Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309478400000",
    "number": "1427345115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9673",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616129673",
            "telephone_number": "309-339-9211",
            "fax_number": "309-691-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 N SHERIDAN RD STE B",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616143053",
            "telephone_number": "309-339-9211",
            "fax_number": "309-691-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KATHLEEN",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "JONES",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jacob Raymond Jones
• Jaime L Jones, MD
• Jeffrey Jones, N.P.
• Jennifer Jones, LMT
• Josie Jones, BSN, RN, IBCLC
• Melissa Lynn Jones, APN-FPA
• Sabrina Renae Jones, APN
• Samantha Jones, LSW
• Travis Jones
• Nicolaas Michael Jongerius, MD

• All providers in Peoria, IL
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.