Individual provider Active NPI

Judi K Jones, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1679642524
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34003233A Issued in IN
Practice address
10291 N Meridian St
#160
Indianapolis, IN 46290
Phone
(317) 595-8994
Fax
(317) 853-1314
NPI assigned
Nov 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 34003233A IN Primary

Addresses

Primary practice location

10291 N Meridian St
#160
Indianapolis, IN 46290

Mailing address

8017 Beaumont Green East Dr
Indianapolis, IN 46250
Phone (317) 595-8994

Other identifiers 3

IdentifierTypeStateIssuer
123531OtherMHN MANAGED HEALTH NETWOR
7145134OtherAETNA
000000183101OtherANTHEM

Other names 1

  • Judy Kerstetter Jones Other name

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

State licenses

LicenseStateTypeSpecialty
34003233AINMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679642524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8017 BEAUMONT GREEN EAST DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46250",
            "telephone_number": "317-595-8994",
            "fax_number": "317-853-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10291 N MERIDIAN ST",
            "address_2": "#160",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46290",
            "telephone_number": "317-595-8994",
            "fax_number": "317-853-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JUDI",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34003233A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN MANAGED HEALTH NETWOR",
            "identifier": "123531",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7145134",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000183101",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDY",
            "last_name": "JONES",
            "middle_name": "KERSTETTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.