Active NPI
Mary Louise Jones-Clavell, LMSW, LCSW-R
- Clinical Social Worker
- Buffalo, NY
National Provider Identifier
1528205986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R072768-1
- Practice address
- 951 Niagara St
Buffalo, NY 14213-2116 - Phone
- (716) 884-0700
- Fax
- (716) 884-0631
- NPI assigned
- Jan 7, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R072768-1 | NY | Primary |
| Clinical Social Worker | 1041C0700X | R066230-1 | NY |
Addresses
Primary practice location
951 Niagara St
Buffalo, NY 14213-2116
Mailing address
76 Laurentian Dr
Cheektowaga, NY 14225
Phone (716) 897-5499
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R066230-1 | NY | MD | Clinical Social Worker |
| R072768-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247616000000",
"number": "1528205986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 LAURENTIAN DR",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "14225",
"telephone_number": "716-897-5499",
"fax_number": "716-896-0374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 NIAGARA ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142132116",
"telephone_number": "716-884-0700",
"fax_number": "716-884-0631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES-CLAVELL",
"first_name": "MARY",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "LMSW, LCSW-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-07",
"last_updated": "2009-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R072768-1",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R066230-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.