Individual provider Active NPI

Jaysa P. Jones, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1477817955
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-09387 Issued in NM
Practice address
1006 Jane St NE
Albuquerque, NM 87112-5612
Phone
(505) 485-3060
NPI assigned
Jun 28, 2012
Last updated
Mar 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161005002684 NM Practitioner - Clinical Social Worker 7719275866 Reassigns benefits to 1 organization
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Families of Albuquerque LLC Clinical CurrentSince May 30, 2017 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.

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

Verify at the official NPI Registry.