Organization Active NPI

Mary Southwick Jones LCSW

  • Clinical Social Worker
  • Jacksonville Beach, FL
National Provider Identifier
1811368079
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW6913 Issued in FL
Legal business name
MARY SOUTHWICK JONES LCSW
Practice address
4300 Marsh Landing Blvd Ste 204
Jacksonville Beach, FL 32250-1420
Phone
(904) 583-4366
NPI assigned
Oct 14, 2015
Last updated
Oct 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Authorized official

Name
Ms. Donna Moseley
Title
Biller
Phone
(904) 583-4366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW6913 FL Primary

Addresses

Primary practice location

4300 Marsh Landing Blvd Ste 204
Jacksonville Beach, FL 32250-1420

Mailing address

4300 Marsh Landing Blvd Ste 204
Jacksonville Beach, FL 32250-1420
Phone (904) 583-4366

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1811368079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 MARSH LANDING BLVD STE 204",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322501420",
            "telephone_number": "904-583-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 MARSH LANDING BLVD STE 204",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322501420",
            "telephone_number": "904-583-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY SOUTHWICK JONES LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "MOSELEY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "904-583-4366",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.