Individual provider Active NPI

Camille Deon Jones-Farren, LICSW-S

  • Clinical Social Worker
  • Hoover, AL
National Provider Identifier
1720743743
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4709C Issued in AL
Practice address
1855 Data Dr Ste 155
Hoover, AL 35244-1237
Phone
(205) 982-3586
NPI assigned
Nov 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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 4709C AL Primary

Addresses

Primary practice location

1855 Data Dr Ste 155
Hoover, AL 35244-1237

Mailing address

2052 Chandalar CT
Pelham, AL 35124-1344
Phone (205) 830-4833

Other names 1

  • Camille Deon Jones Former name

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
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 24, 2025 through Sep 24, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4709CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eunoia Counseling & Consulting LLC. CurrentSince Nov 3, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1720743743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2052 CHANDALAR CT",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241344",
            "telephone_number": "205-830-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 DATA DR STE 155",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352441237",
            "telephone_number": "205-982-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-FARREN",
        "first_name": "CAMILLE",
        "middle_name": "DEON",
        "name_prefix": "Mrs.",
        "credential": "LICSW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-04",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4709C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMILLE",
            "last_name": "JONES",
            "middle_name": "DEON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.