Individual provider Active NPI

Khyra Carinne Jones

  • Clinical Social Worker
  • Dobbs Ferry, NY
National Provider Identifier
1922626530
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
095026-01 Issued in NY
Practice address
1 Echo HL
Dobbs Ferry, NY 10522-3600
Phone
(914) 758-9636
NPI assigned
Jul 9, 2020
Last updated
Apr 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 103726 NY
Clinical Social Worker 1041C0700X 095026-01 NY Primary

Addresses

Primary practice location

1 Echo HL
Dobbs Ferry, NY 10522-3600

Mailing address

122 Morgan St Apt 123B
Stamford, CT 06905-5429
Phone (914) 439-6064

Other practice location 1

3 Dassern Dr Apt 3C
Dobbs Ferry, NY 10522-3110
Phone (914) 439-6064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250606002955 NY Practitioner - Clinical Social Worker 6608386818 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103726NYMDSocial Worker
095026-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute for Family Health Clinical Current Accepting new patients
The Institute for Family Health Clinical CurrentSince Jun 4, 2025 Accepting new patients
The Institute for Family Health Clinical CurrentSince Jun 4, 2025 Accepting new patients
Childrens Village PastSince Jul 1, 2020 Accepting new patients

Locations

731 White Plains Rd
Bronx, NY 10473
Phone (718) 589-8324

16 E 16th St
New York, NY 10003
Phone (212) 633-0800

1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1922626530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 MORGAN ST APT 123B",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055429",
            "telephone_number": "914-439-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ECHO HL",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105223600",
            "telephone_number": "914-758-9636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Dassern Dr Apt 3C",
            "address_purpose": "LOCATION",
            "city": "Dobbs Ferry",
            "state": "NY",
            "postal_code": "105223110",
            "country_code": "US",
            "telephone_number": "914-439-6064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "KHYRA",
        "middle_name": "CARINNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "103726",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "095026-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dobbs Ferry, NY

Sources for this page

Verify at the official NPI Registry.