Active NPI
Sebrina Jones, LCSW-R
- Clinical Social Worker
- North Charleston, SC
National Provider Identifier
1639401979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14328
- Practice address
- 4975 Lacross Rd Ste 351
North Charleston, SC 29406-6530 - Phone
- (855) 284-7483
- NPI assigned
- Feb 11, 2010
- Last updated
- Aug 7, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 076512 | NY | |
| Clinical Social Worker | 1041C0700X | 080542 | NY | |
| Clinical Social Worker | 1041C0700X | 14328 | SC | Primary |
Addresses
Primary practice location
4975 Lacross Rd Ste 351
North Charleston, SC 29406-6530
Mailing address
PO Box 748465
Atlanta, GA 30374-8465
Phone (855) 284-7483
Other practice location 1
183 S Wellwood Ave Unit A
Lindenhurst, NY 11757-4935
Phone (631) 258-1686
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080542 | Other | NY | LICENSE NUMBER ISSUED BY NEW YORK STATE |
| 14328 | Other | SC | LISW-CP |
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 |
|---|---|---|---|
| 076512 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1639401979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748465",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748465",
"telephone_number": "855-284-7483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4975 LACROSS RD STE 351",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294066530",
"telephone_number": "855-284-7483"
}
],
"practiceLocations": [
{
"address_1": "183 S Wellwood Ave Unit A",
"address_purpose": "LOCATION",
"city": "Lindenhurst",
"state": "NY",
"postal_code": "117574935",
"country_code": "US",
"telephone_number": "631-258-1686",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "SEBRINA",
"name_prefix": "Miss",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-11",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "076512",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "080542",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "14328",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER ISSUED BY NEW YORK STATE",
"identifier": "080542",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LISW-CP",
"identifier": "14328",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.