Kimberly Dawn Jones, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3664 Issued in OK

Practice address

1717 1/2 West Jackson
Hugo, OK 74743

Phone

(580) 326-9475

Fax

(580) 326-9028

NPI assigned

Aug 27, 2009

Last updated

Aug 27, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in OK

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Red River Counseling Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hugo, OK
  • NPI 1003060450
  Medicare reassignment NPD
• Four Seasons Counseling Services, Inc.

  • Community/Behavioral Health Agency
  • Hugo, OK
  • NPI 1467815464
  NPD (past)

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1598998320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 831",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747430831",
            "telephone_number": "580-326-9475",
            "fax_number": "580-326-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 1/2 WEST JACKSON",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "74743",
            "telephone_number": "580-326-9475",
            "fax_number": "580-326-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Jent
• Jim Wallace & Associates Inc (The Jetty Counseling Center)
• Christy Jones, LCSW
• David Eugene Jones
• Jordan Jones
• Tonya Sherree Jones
• Jan Jordan
• Judy Jordan
• Lindsey Jordan
• Suzanne Renee Jordan

• Clinical Social Worker in Hugo, OK
• Providers in Hugo, 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 Aug 27, 2009; 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.