Individual provider Active NPI

Rebecca Sue Jones, LCSW

  • Clinical Social Worker
  • Grand Forks, ND
National Provider Identifier
1801150446
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.015821 Issued in IL
Practice address
3674 S Washington St
Grand Forks, ND 58201-5766
Phone
(701) 205-3000
Fax
(701) 732-2501
NPI assigned
Jun 28, 2012
Last updated
Jan 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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 149.015821 IL Primary

Addresses

Primary practice location

3674 S Washington St
Grand Forks, ND 58201-5766

Mailing address

PO Box 5210
Grand Forks, ND 58206-5210
Phone (217) 493-0243

Other practice location 1

202 W Park Ave
Champaign, IL 61820-3929
Phone (217) 373-2430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AK, MN, ND, TN, SD, MT, TX, UT9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20230920000269 IL Practitioner - Clinical Social Worker 6608230982 Reassigns benefits to 2 organizations
I20250515002183 AK Practitioner - Clinical Social Worker 6608230982 Reassigns benefits to 3 organizations
I20250516000810 MN Practitioner - Clinical Social Worker 6608230982 Reassigns benefits to 1 organization
I20250603000059 ND Practitioner - Clinical Social Worker 6608230982 Reassigns benefits to 1 organization
I20250606001058 TN Practitioner - Clinical Social Worker 6608230982 Reassigns benefits to 1 organization
I20250623002039 SD Practitioner - Clinical Social Worker 6608230982 Reassigns benefits to 1 organization
I20250714000292 MT Practitioner - Clinical Social Worker 6608230982 Reassigns benefits to 1 organization
I20251121000064 TX Practitioner - Clinical Social Worker 6608230982 Reassigns benefits to 1 organization
I20260116003214 UT Practitioner - Clinical Social Worker 6608230982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peterson Medical Clinics LLCGroup PAC ID 9335412220, 91 clinicians

Practice addresses (Care Compare)

2001 Broadway Ave
Yankton, SD 57078-2032
Phone (701) 205-3000

201 Houston St
Suite 200a
Batavia, IL 60510-1979
Phone (701) 205-3000

2033 N Ocoee St
Cleveland, TN 37311-3918
Phone (701) 205-3000

3674 S Washington St
Grand Forks, ND 58201-5766

4501 15TH Ave SW
Suite 105
Fargo, ND 58103-8956
Phone (701) 205-3000

519 Anne St NW
Suite a
Bemidji, MN 56601-4277
Phone (701) 205-3000

64 E 100
Gunnison, UT 84634-7709
Phone (701) 205-3000

960 S 24TH St W
Suite H
Billings, MT 59102-6450
Phone (701) 205-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.015821ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Norton Sound Health Corporation CurrentSince May 2, 2025 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Norton Sound Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Aug 18, 2023 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Norton Sound Health Corporation CurrentSince May 2, 2025 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Peterson Medical Clinics, LLC CurrentSince Mar 28, 2025 Accepting new patients
Ocoee Behavioral Health LLPC CurrentSince May 6, 2025 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Sep 3, 2025 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Sep 3, 2025 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportation Current Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Sweet Memorial Nursing Home PastSince Feb 1, 2010 Accepting new patients

Locations

205 E Benson Blvd
Ste 401
Anchorage, AK 99503

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

201 Houston St
Ste 200A
Batavia, IL 60510
Phone (630) 397-8347

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

519 Anne St NW
Ste A
Bemidji, MN 56601
Phone (218) 444-5700

960 S 24th St W
Ste H
Billings, MT 59102
Phone (406) 272-2376

721 Central Ave
#107
Great Falls, MT 59401

4501 15th Ave SW
Ste 105
Fargo, ND 58103

3674 S Washington St
Grand Forks, ND 58201
Phone (701) 732-2538

401 Veterans Ave
Sisseton, SD 57262
Phone (605) 698-3162

2001 Broadway Ave
Yankton, SD 57078
Phone (605) 520-0477

2033 N Ocoee St
Cleveland, TN 37311
Phone (423) 458-1020

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23391/brand/1/csg/1/fhir/r4

Organizations & group practices 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1801150446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5210",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582065210",
            "telephone_number": "217-493-0243",
            "fax_number": "701-732-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3674 S WASHINGTON ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582015766",
            "telephone_number": "701-205-3000",
            "fax_number": "701-732-2501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 W Park Ave",
            "address_purpose": "LOCATION",
            "city": "Champaign",
            "state": "IL",
            "postal_code": "618203929",
            "country_code": "US",
            "telephone_number": "217-373-2430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "REBECCA",
        "middle_name": "SUE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.015821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.