Individual provider Active NPI

Gary Jones, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1437585429
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017836 Issued in PA
Practice address
6224 Delancey St
Philadelphia, PA 19143-1020
Phone
(215) 476-5861
Fax
(215) 476-1810
NPI assigned
Sep 23, 2013
Last updated
Sep 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW017836 PA Primary

Addresses

Primary practice location

6224 Delancey St
Philadelphia, PA 19143-1020

Mailing address

6224 Delancey St
Philadelphia, PA 19143-1020
Phone (215) 476-5861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160805001191 PA Practitioner - Clinical Social Worker 6709170293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

850 W Lancaster Ave
Suite 2
Bryn Mawr, PA 19010-3220
Phone (610) 520-1510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW017836PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Resources for Human Development, Inc. Current Accepting new patients
Resources for Human Development, Inc. CurrentSince Jul 6, 2016 Accepting new patients
Family Practice & Counseling Services Network, Inc. CurrentSince Jul 6, 2016 Accepting new patients
Family Practice & Counseling Services Network, Inc. Past Accepting new patients

Locations

850 W Lancaster Ave
Ste 2
Bryn Mawr, PA 19010
Phone (484) 383-0038

2300 W Master St
Philadelphia, PA 19121
Phone (267) 687-1172

4700 Wissahickon Ave
Bldg D
Philadelphia, PA 19144
Phone (215) 843-9720

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1437585429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6224 DELANCEY ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191431020",
            "telephone_number": "215-476-5861",
            "fax_number": "215-476-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6224 DELANCEY ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191431020",
            "telephone_number": "215-476-5861",
            "fax_number": "215-476-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "GARY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.