Individual provider Active NPI

Deborah J Jones, L.C.S.W.

  • Clinical Social Worker
  • Marion, VA
National Provider Identifier
1881920395
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904002126 Issued in VA
Practice address
434 Mitchell Valley Dr
Marion, VA 24354-6338
Phone
(276) 783-7600
Fax
(276) 783-1802
NPI assigned
Oct 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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 0904002126 VA Primary

Addresses

Primary practice location

434 Mitchell Valley Dr
Marion, VA 24354-6338

Mailing address

434 Mitchell Valley Dr
Marion, VA 24354-6338
Phone (276) 783-7600

Other identifiers 2

IdentifierTypeStateIssuer
0904002126OtherVALICENSE
12759788OtherVACAQH

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Twin County Physician Practices LLC Current Accepting new patients
DLP Twin County Physician Practices LLC CurrentSince Oct 1, 2018 Accepting new patients
DLP Twin County Physician Practices LLC CurrentSince Oct 1, 2018 Accepting new patients
Heatherwood Counseling Center, Inc. Clinical CurrentSince May 2, 2015 Accepting new patients

Locations

961 E Stuart Dr
Galax, VA 24333
Phone (276) 236-3931

434 Mitchell Valley Dr
Marion, VA 24354
Phone (276) 783-7600

Organizations & group practices 4

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": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1881920395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 MITCHELL VALLEY DR",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243546338",
            "telephone_number": "276-783-7600",
            "fax_number": "276-783-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 MITCHELL VALLEY DR",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243546338",
            "telephone_number": "276-783-7600",
            "fax_number": "276-783-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DEBORAH",
        "middle_name": "J",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0904002126",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12759788",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, VA

Sources for this page

Verify at the official NPI Registry.