Individual provider Active NPI

Jennie Jones, LCSW

  • Clinical Social Worker
  • Clinton, NY
National Provider Identifier
1912320847
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
73 079720 Issued in NY
Practice address
2 Williams St
Suite #2
Clinton, NY 13323-1748
Phone
(315) 737-3094
NPI assigned
Jan 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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 73 079720 NY Primary

Addresses

Primary practice location

2 Williams St
Suite #2
Clinton, NY 13323-1748

Mailing address

2 Williams St
Suite #2
Clinton, NY 13323-1748
Phone (315) 737-3094

Other names 1

  • Mrs. Jennie Mazza Jones Professional name

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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 20, 2016 through Sep 20, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
079720NYMDClinical Social Worker
73 079720NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jennie Mazza Jones LCSW PLLC Clinical CurrentSince Jan 24, 2021 Accepting new patients

Locations

2 Williams St
Ste 2
Clinton, NY 13323
Phone (315) 527-6062

Organizations & group practices 1

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": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1912320847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WILLIAMS ST",
            "address_2": "SUITE #2",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133231748",
            "telephone_number": "315-737-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WILLIAMS ST",
            "address_2": "SUITE #2",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133231748",
            "telephone_number": "315-737-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JENNIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73 079720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIE",
            "last_name": "JONES",
            "middle_name": "MAZZA",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Clinton, NY

Sources for this page

Verify at the official NPI Registry.