Individual provider Active NPI

Paula Denise Jones, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1598047284
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
04872 Issued in MD
Practice address
600 Reisterstown Rd
Suite 404
Baltimore, MD 21208-5104
Phone
(443) 588-5048
Fax
(443) 853-1895
NPI assigned
Sep 19, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

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 04872 MD Primary

Addresses

Primary practice location

600 Reisterstown Rd
Suite 404
Baltimore, MD 21208-5104

Mailing address

8500 Liberty Rd
Randallstown, MD 21133-4818
Phone (443) 742-9181

Other identifiers 1

IdentifierTypeStateIssuer
14838MedicaidMD

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04872MDMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Productive Lives Mental Health CurrentSince Jan 10, 2025 Accepting new patients

Locations

110 Painters Mill Rd
Ste 310
Owings Mills, MD 21117
Phone (443) 657-7952

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": "1316390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1598047284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 LIBERTY RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334818",
            "telephone_number": "443-742-9181",
            "fax_number": "410-545-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 REISTERSTOWN RD",
            "address_2": "SUITE 404",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212085104",
            "telephone_number": "443-588-5048",
            "fax_number": "443-853-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "PAULA",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-19",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "04872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14838",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.