Individual provider Active NPI

Katherine Howard Jones, MSSW, LCSW

  • Clinical Social Worker
  • Roseburg, OR
National Provider Identifier
1760535157
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L3311 Issued in OR
Practice address
555 W Harrison St
Roseburg, OR 97471-2918
Phone
(541) 580-5861
Fax
(541) 637-0405
NPI assigned
Jan 19, 2007
Last updated
Jan 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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 L3311 OR Primary

Addresses

Primary practice location

555 W Harrison St
Roseburg, OR 97471-2918

Mailing address

555 W Harrison St
Roseburg, OR 97471-2918
Phone (541) 580-5861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20091123000684 OR Practitioner - Clinical Social Worker 8820137383 Practice locations: Roseburg, OR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Center, Inc. Past Accepting new patients
Umpqua Counseling PC Clinical Past Accepting new patients

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, 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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1760535157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W HARRISON ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712918",
            "telephone_number": "541-580-5861",
            "fax_number": "541-637-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W HARRISON ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712918",
            "telephone_number": "541-580-5861",
            "fax_number": "541-637-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KATHERINE",
        "middle_name": "HOWARD",
        "credential": "MSSW,  LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

Verify at the official NPI Registry.