Active NPI
Nichelle Jones, LCSW
- Clinical Social Worker
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 080025
- Practice address
- 1 Brookdale PLZ
Brooklyn, NY 11212-3139 - Phone
- (718) 240-5000
- NPI assigned
- Oct 15, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 082262 | NY | |
| Clinical Social Worker | 1041C0700X | 080025 | NY | Primary |
Addresses
Primary practice location
1 Brookdale PLZ
Brooklyn, NY 11212-3139
Mailing address
PO Box 826
Levittown, NY 11756-0826
Phone (718) 219-7769
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
816 Greenbrier Cir
Suite 100
Chesapeake, VA 23320-2645
Phone (757) 301-8747
9202 Ctr Oak CT
Mechanicsville, VA 23116-2744
Phone (804) 207-6737
999 Waterside Dr
Suite 2525
Norfolk, VA 23510-3316
Phone (866) 630-0966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 080025 | NY | MD | Social Worker |
| 082262 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
| City of Chesapeake | Current | Accepting new patients | |
| Family Insight Inc | Clinical | Current | Accepting new patients |
| Catholic Charities Neighborhood Services, Inc. | Current | Accepting new patients | |
| Uplift Health Technologies, Inc. | Current | Accepting new patients | |
| City of Chesapeake | Current | Accepting new patients | |
| Commonwealth Counseling Associates Inc | Clinical | Current | Accepting new patients |
| Catholic Charities Neigborhood Services | Clinical | Past | Accepting new patients |
| Shine Medical Providers PC | Past | Accepting new patients |
Locations
1050 30th St NW
Washington, DC 20007
Phone (202) 410-5972
191 Joralemon St
Fl 11
Brooklyn, NY 11201
6729 Myrtle Ave
Glendale, NY 11385
Phone (718) 456-7001
16110 Jamaica Ave
Fl 2
Jamaica, NY 11432
Phone (718) 674-1000
85 5th Ave
Fl 8
New York, NY 10003
Phone (212) 993-7809
3033 Wilson Blvd
Ste 700
Arlington, VA 22201
Phone (202) 410-5972
816 Greenbrier Cir
Ste 100
Chesapeake, VA 23320
Phone (757) 301-8747
224 Great Bridge Blvd
Chesapeake, VA 23320
Phone (757) 547-9334
10640 Page Ave
Ste 220
Fairfax, VA 22030
Phone (703) 310-7665
9202 Center Oak Ct
Mechanicsvlle, VA 23116
Phone (804) 639-1112
999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787
999 Waterside Dr
Ste 2600
Norfolk, VA 23510
Phone (202) 766-7689
6800 Paragon Pl
Ste 200
Richmond, VA 23230
Phone (757) 768-6914
780 Lynnhaven Pkwy
Ste 340
Virginia Beach, VA 23452
Phone (757) 301-8747
780 Lynnhaven Pkwy
Ste 110
Virginia Beach, VA 23452
Phone (757) 301-8747
Interoperability endpoints
- lifestancehealth.nichellejones@134000.advancedmd-direct.com
Organizations & group practices 9
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.
-
- Clinical Psychologist
- Mechanicsville, VA
- NPI 1851345805
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brooklyn, NY
- NPI 1548373921
-
- Community/Behavioral Health Agency
- Chesapeake, VA
- NPI 1073650099
-
- Ambulance
- Chesapeake, VA
- NPI 1659385938
-
- Clinical Social Worker
- Glendale, NY
- NPI 1881910131
-
- Psychiatry Physician
- Philadelphia, PA
- NPI 1538894050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361836800000",
"number": "1427368000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 826",
"city": "LEVITTOWN",
"state": "NY",
"postal_code": "117560826",
"telephone_number": "718-219-7769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BROOKDALE PLZ",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112123139",
"telephone_number": "718-240-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "NICHELLE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-15",
"last_updated": "2013-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "082262",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "080025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.