Active NPI
Georgia Ann Jones, LCSW
- Clinical Social Worker
- Salt Lake City, UT
National Provider Identifier
1689627416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1273103501
- Practice address
- 4190 S Highland Dr Ste 208
Salt Lake City, UT 84124-2675 - Phone
- (801) 278-8357
- Fax
- (801) 272-0779
- NPI assigned
- May 19, 2006
- 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 | 1273103501 | UT | Primary |
Addresses
Primary practice location
4190 S Highland Dr Ste 208
Salt Lake City, UT 84124-2675
Mailing address
4190 S Highland Dr Ste 208
Salt Lake City, UT 84124-2675
Phone (801) 278-8357
Other practice location 1
1348 So 1100 E
Salt Lake City, UT 84105
Phone (801) 467-3031
Other names 1
- Georgia A Jones
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2017 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1273103501 | UT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1689627416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4190 S HIGHLAND DR STE 208",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841242675",
"telephone_number": "801-278-8357",
"fax_number": "801-272-0779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4190 S HIGHLAND DR STE 208",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841242675",
"telephone_number": "801-278-8357",
"fax_number": "801-272-0779"
}
],
"practiceLocations": [
{
"address_1": "1348 So 1100 E",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "84105",
"country_code": "US",
"telephone_number": "801-467-3031",
"fax_number": "801-467-3032",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "GEORGIA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "1273103501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GEORGIA",
"last_name": "JONES",
"middle_name": "A",
"credential": "LCSW LLC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Salt Lake City, UT
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.