Mark R Jones, ACSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW-001690-L Issued in PA

Practice address

5035 Old William Penn Hwy
Export, PA 15632

Phone

(724) 733-3491

Fax

(724) 733-3498

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801989595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4259 BULLTOWN RD",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156689503",
            "telephone_number": "724-733-3801",
            "fax_number": "724-733-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5035 OLD WILLIAM PENN HWY",
            "city": "EXPORT",
            "state": "PA",
            "postal_code": "15632",
            "telephone_number": "724-733-3491",
            "fax_number": "724-733-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MARK",
        "middle_name": "R",
        "credential": "ACSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW-001690-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PA ID#",
            "identifier": "463873",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "9P587",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIMARK PA ID#",
            "identifier": "000641940",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ann W Hartman
• Jessica Higgins, CRNP
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• James M. Abraham DMD MDS PC
• Jotinder K. Patheja M.D.P.C.
• Kathleen Blythe Thomas, LLC
• Kathleen C. Spadaro LLC
• Hannah Kelly, PHARMD
• Susan Alexandra Kick

• All providers in Export, PA
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.