Individual provider Active NPI

Meredith Stacy Jones, LMSW, LCDC

  • Clinical Social Worker
  • Round Rock, TX
National Provider Identifier
1780428342
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107046 Issued in TX
Practice address
505 E Palm Valley Blvd Ste 240
Round Rock, TX 78664-3043
Phone
(844) 824-8775
Fax
(281) 648-2200
NPI assigned
Jun 19, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16638 TX
Clinical Social Worker 1041C0700X 107046 TX Primary

Addresses

Primary practice location

505 E Palm Valley Blvd Ste 240
Round Rock, TX 78664-3043

Mailing address

505 E Palm Valley Blvd Ste 240
Round Rock, TX 78664-3043
Phone (844) 824-8775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241023004913 TX Practitioner - Clinical Social Worker 1850824285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Behavioral Health, PLLCGroup PAC ID 4486794906, 366 clinicians

Practice addresses (Care Compare)

505 E Palm Valley Blvd
Suite 240
Round Rock, TX 78664-3043
Phone (844) 824-8775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107046TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Behavioral Health, PLLC Addiction (Substance Use Disorder) CurrentSince Oct 10, 2024 Accepting new patients

Locations

12505 Memorial Dr
Ste 230
Houston, TX 77024
Phone (210) 858-9078

23051 Kingwood Place Dr
Ste 110
Kingwood, TX 77339
Phone (281) 374-4500

505 E Palm Valley Blvd
Ste 240
Round Rock, TX 78664
Phone (512) 310-7177

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1780428342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E PALM VALLEY BLVD STE 240",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786643043",
            "telephone_number": "844-824-8775",
            "fax_number": "281-648-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E PALM VALLEY BLVD STE 240",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786643043",
            "telephone_number": "844-824-8775",
            "fax_number": "281-648-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MEREDITH",
        "middle_name": "STACY",
        "name_prefix": "Mr.",
        "credential": "LMSW, LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "16638",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "107046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.