Active NPI
Kelly Craig Jones, L.C.S.W.
- Clinical Social Worker
- Pasadena, CA
National Provider Identifier
1699899757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS17117
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17117 | CA | MD | Clinical Social Worker |
| LCS17117 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sherman Oaks Mental Health Group GP | Current | Accepting new patients | |
| Valley Counseling and Wellness Center | Current | 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.
-
- Marriage & Family Therapist
- Sherman Oaks, CA
- NPI 1477961142
-
- Clinic/Center
- Sherman Oaks, CA
- NPI 1689082067
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.