Individual provider Active NPI

Elizabeth Rose Jones, LICSW

  • Clinical Social Worker
  • Owatonna, MN
National Provider Identifier
1740652734
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21745 Issued in MN
Practice address
2575 Harvest LN
Owatonna, MN 55060-4305
Phone
(507) 446-0431
Fax
(507) 446-8014
NPI assigned
Oct 29, 2015
Last updated
Oct 29, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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 21745 MN Primary

Addresses

Primary practice location

2575 Harvest LN
Owatonna, MN 55060-4305

Mailing address

PO Box 977
Owatonna, MN 55060-0977
Phone (507) 446-0431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20190812003779 MN Practitioner - Clinical Social Worker 8820325996 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21745MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Leo a. Hoffmann Center, Inc. CurrentSince Jun 8, 2025 Accepting new patients
Fernbrook Family Center, Inc CurrentSince Jun 2, 2019 Accepting new patients
Fernbrook Family Center Past Accepting new patients

Locations

510 Sibley St
Mankato, MN 56001
Phone (507) 484-2400

1407 S State St
New Ulm, MN 56073
Phone (507) 354-3181

2575 Harvest Ln
Owatonna, MN 55060
Phone 5074460431115

1715 Sheppard Dr
Saint Peter, MN 56082
Phone (507) 484-2400

119 State St N
Waseca, MN 56093
Phone (507) 201-2568

Organizations & group practices 3

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": "1446076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1740652734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 977",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550600977",
            "telephone_number": "507-446-0431",
            "fax_number": "507-446-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 HARVEST LN",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550604305",
            "telephone_number": "507-446-0431",
            "fax_number": "507-446-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ELIZABETH",
        "middle_name": "ROSE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "21745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owatonna, MN

Sources for this page

Verify at the official NPI Registry.