Antonio Dewayne Jones, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50080407 Issued in DC

Practice address

301 N 1St St BLDG 46
Altus Afb, OK 73523-5005

Phone

(580) 481-5235

NPI assigned

Oct 29, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1467706531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N 1ST ST BLDG 46",
            "city": "ALTUS AFB",
            "state": "OK",
            "postal_code": "735235005",
            "telephone_number": "580-481-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 1ST ST BLDG 46",
            "city": "ALTUS AFB",
            "state": "OK",
            "postal_code": "735235005",
            "telephone_number": "580-481-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ANTONIO",
        "middle_name": "DEWAYNE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-29",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50080407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katon Rans Harwood, DO
• Christina S Hong
• Kendra Denise James, LCSW
• Janae Wayonette Jameson, LCSW
• Lindsay Anne Johnston, PA-C
• David Wayne Koles, OD
• Marilyn Thuy Lai, O.D.
• Chase Leavy, DPT
• Christopher Lillenberg, DDS
• Patrick McCue, PA-C

• Clinical Social Worker in Altus Afb, OK
• Providers in Altus Afb, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.