Individual provider Active NPI

Shirley R Jones, MSW LCSWPIP

  • Clinical Social Worker
  • Sioux Falls, SD
National Provider Identifier
1780654582
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1662 Issued in SD
Practice address
6901 S Lyncrest PL
Ste 105
Sioux Falls, SD 57108-2573
Phone
(605) 335-1516
Fax
(605) 731-0896
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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 1662 SD Primary

Addresses

Primary practice location

6901 S Lyncrest PL
Ste 105
Sioux Falls, SD 57108-2573

Mailing address

6901 S Lyncrest PL
Ste 105
Sioux Falls, SD 57108-2573
Phone (605) 335-1516

Other identifiers 1

IdentifierTypeStateIssuer
6571290MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1459SDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Behavioral Healthcare PastSince Dec 18, 2013 Accepting new patients
Southeastern Behavioral Healthcare 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287446400000",
    "number": "1780654582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 S LYNCREST PL",
            "address_2": "STE 105",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082573",
            "telephone_number": "605-335-1516",
            "fax_number": "605-731-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 S LYNCREST PL",
            "address_2": "STE 105",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082573",
            "telephone_number": "605-335-1516",
            "fax_number": "605-731-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SHIRLEY",
        "middle_name": "R",
        "credential": "MSW LCSWPIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2010-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "1662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6571290",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.