Active NPI
Jaysa P. Jones, LCSW
- Clinical Social Worker
- Albuquerque, NM
National Provider Identifier
1477817955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-09387
- Practice address
- 1006 Jane St NE
Albuquerque, NM 87112-5612 - Phone
- (505) 485-3060
- NPI assigned
- Jun 28, 2012
- Last updated
- Mar 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C-09387 | NM | Primary |
Addresses
Primary practice location
1006 Jane St NE
Albuquerque, NM 87112-5612
Mailing address
1805 Carlisle Blvd NE
Albuquerque, NM 87110-4905
Phone (505) 842-9911
Other practice location 1
1043 Highway 313
Bernalillo, NM 87004-6912
Phone (505) 867-3351 ext. 143
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Families of Albuquerque LLC | Clinical | Current | Accepting new patients |
| Five Sandoval Indian Pueblos, Inc. | Past | Accepting new patients |
Locations
1803 Carlisle Blvd NE
Albuquerque, NM 87110
Phone (505) 842-9911
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Albuquerque, NM
- NPI 1568790582
Clinical
-
- Clinical Social Worker
- Albuquerque, NM
- NPI 1124680319
-
- Community/Behavioral Health Agency
- Bernalillo, NM
- NPI 1689896284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585526400000",
"number": "1477817955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 CARLISLE BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871104905",
"telephone_number": "505-842-9911",
"fax_number": "505-254-9911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 JANE ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871125612",
"telephone_number": "505-485-3060"
}
],
"practiceLocations": [
{
"address_1": "1043 Highway 313",
"address_purpose": "LOCATION",
"city": "Bernalillo",
"state": "NM",
"postal_code": "870046912",
"country_code": "US",
"telephone_number": "505-867-3351 x143",
"fax_number": "505-867-3514",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "JAYSA",
"middle_name": "P.",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-28",
"last_updated": "2020-03-30",
"certification_date": "2020-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C-09387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.