Individual provider Active NPI

Nichelle Jones, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1427368000
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
080025 Issued in NY
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

Updated by the provider on Feb 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20151208002766 NY Practitioner - Clinical Social Worker 4981905387 Reassigns benefits to 1 organization
I20180716001008 VA Practitioner - Clinical Social Worker 4981905387 Reassigns benefits to 3 organizations
I20220512001638 DC Practitioner - Clinical Social Worker 4981905387 Reassigns benefits to 1 organization

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
Commonwealth Counseling Associates IncGroup PAC ID 0941288583, 207 clinicians
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

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

LicenseStateTypeSpecialty
080025NYMDSocial Worker
082262NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Aug 1, 2022 Accepting new patients
City of Chesapeake CurrentSince May 21, 2018 Accepting new patients
Family Insight Inc Clinical CurrentSince Mar 1, 2022 Accepting new patients
Catholic Charities Neighborhood Services, Inc. CurrentSince Oct 7, 2015 Accepting new patients
Uplift Health Technologies, Inc. CurrentSince Jan 1, 2023 Accepting new patients
City of Chesapeake CurrentSince May 21, 2018 Accepting new patients
Commonwealth Counseling Associates Inc Clinical CurrentSince Nov 1, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.