Individual provider Active NPI

Kyli Marshall Jones, LCSW

  • School Social Worker
  • Wallingford, CT
National Provider Identifier
1447733803
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
010194 Issued in CT
Practice address
5 Barnes Industrial Rd S
Wallingford, CT 06492-2431
Phone
(203) 284-0441
Fax
(203) 774-5716
NPI assigned
Sep 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 010194 CT Primary

Addresses

Primary practice location

5 Barnes Industrial Rd S
Wallingford, CT 06492-2431

Mailing address

5 Barnes Industrial Rd S
Wallingford, CT 06492-2431
Phone (203) 284-0441

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
010194CTMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Specialized Education of Connecticut Inc. Past Accepting new patients

Organizations & group practices 1

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": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1447733803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BARNES INDUSTRIAL RD S",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922431",
            "telephone_number": "203-284-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BARNES INDUSTRIAL RD S",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922431",
            "telephone_number": "203-284-0441",
            "fax_number": "203-774-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KYLI",
        "middle_name": "MARSHALL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CT",
            "license": "010194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.