Individual provider Active NPI

Michelle Jones

  • Clinical Social Worker
  • Frisco, TX
National Provider Identifier
1629527163
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
32134 Issued in TX
Practice address
11500 State Highway 121 Ste 510
Frisco, TX 75035-9348
Phone
(469) 200-4093
Fax
(469) 200-4079
NPI assigned
Sep 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 32134 TX
Clinical Social Worker 1041C0700X 32134 TX Primary

Addresses

Primary practice location

11500 State Highway 121 Ste 510
Frisco, TX 75035-9348

Mailing address

8992 Preston Rd # 110-222
Frisco, TX 75034-3965
Phone (469) 877-1662

Other practice location 1

3204 Mason Dr
Plano, TX 75025-4536
Phone (469) 877-1662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210908000906 TX Practitioner - Clinical Social Worker 3779989306 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32134TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nazimuddin Mohammed MD PA CurrentSince Dec 20, 2021 Accepting new patients
Assurasource LTD Clinical CurrentSince Sep 1, 2021 Accepting new patients
Vision Purpose & Goals Past Accepting new patients

Locations

400 N Allen Dr
Ste 204
Allen, TX 75013

11500 State Highway 121
Ste 510
Frisco, TX 75035
Phone (469) 200-4093

11500 State Highway 121
Ste 900
Frisco, TX 75035

11500 State Highway 121
Ste 930
Frisco, TX 75035
Phone (469) 200-4083

11500 State Highway 121
Ste 93
Frisco, TX 75035
Phone (469) 200-4093

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1629527163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8992 PRESTON RD # 110-222",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343965",
            "telephone_number": "469-877-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 STATE HIGHWAY 121 STE 510",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750359348",
            "telephone_number": "469-200-4093",
            "fax_number": "469-200-4079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3204 Mason Dr",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750254536",
            "country_code": "US",
            "telephone_number": "469-877-1662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "32134",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "32134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.