Active NPI
Celynn Jay
- Clinical Social Worker
- Fort Worth, TX
National Provider Identifier
1609927474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1812
- Practice address
- 7728 Skylake Dr
Fort Worth, TX 76179-2816 - Phone
- (817) 228-7300
- NPI assigned
- Jan 16, 2007
- 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 | 1812 | TX | Primary |
Addresses
Primary practice location
7728 Skylake Dr
Fort Worth, TX 76179-2816
Mailing address
7728 Skylake Dr
Fort Worth, TX 76179-2816
Phone (817) 228-7300
Other names 1
- Ms. Celynn McDonald Jay
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1609927474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7728 SKYLAKE DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761792816",
"telephone_number": "817-228-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7728 SKYLAKE DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761792816",
"telephone_number": "817-228-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAY",
"first_name": "CELYNN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "1812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CELYNN",
"last_name": "JAY",
"middle_name": "MCDONALD",
"prefix": "MS.",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.