Individual provider Active NPI

Kelly Craig Jones, L.C.S.W.

  • Clinical Social Worker
  • Pasadena, CA
National Provider Identifier
1699899757
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS17117 Issued in CA
Practice address
587 N Raymond Ave
Pasadena, CA 91103-3460
Phone
(626) 622-8176
NPI assigned
Mar 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS17117 CA Primary
Clinical Social Worker 1041C0700X 17117 CA

Addresses

Primary practice location

587 N Raymond Ave
Pasadena, CA 91103-3460

Mailing address

587 N Raymond Ave
Pasadena, CA 91103-3460
Phone (626) 622-8176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20170216002778 CA Practitioner - Clinical Social Worker 0042593097 Reassigns benefits to 1 organization
Practice locations: Arcadia, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

587 N Raymond Ave
Pasadena, CA 91103-3460
Phone (626) 622-8176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17117CAMDClinical Social Worker
LCS17117CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sherman Oaks Mental Health Group GP CurrentSince Feb 3, 2017 Accepting new patients
Valley Counseling and Wellness Center CurrentSince Jun 30, 2020 Accepting new patients

Locations

15250 Ventura Blvd
Ste 720
Sherman Oaks, CA 91403
Phone (626) 622-8176

14724 Ventura Blvd
Ste 1100
Sherman Oaks, CA 91403
Phone (818) 995-8292

Organizations & group practices 2

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1699899757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 N RAYMOND AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033460",
            "telephone_number": "626-622-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 N RAYMOND AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033460",
            "telephone_number": "626-622-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KELLY",
        "middle_name": "CRAIG",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS17117",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "17117",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.