Active NPI
Kristin L Jones, LCSW
- Clinical Social Worker
- Port Charlotte, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW10196
- Practice address
- 1620 Tamiami TRL
Ste 216
Port Charlotte, FL 33948-4017 - Phone
- (941) 255-0405
- NPI assigned
- Jul 13, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW10196 | FL | Primary |
Addresses
Primary practice location
1620 Tamiami TRL
Ste 216
Port Charlotte, FL 33948-4017
Mailing address
4060 Bruing St
North Port, FL 34286-2466
Phone (941) 220-8256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
209 Nassau St S
Suite 102
Venice, FL 34285-2358
Phone (888) 830-7849
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Align LLC | Clinical | Current | Accepting new patients |
| Sean Higgins, DC, PA | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Nutegra Mental Health and Nutrition Inc | Past | Accepting new patients |
Locations
14540 Cortez Blvd
Ste 102
Brooksville, FL 34613
Phone (352) 596-7255
3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108
2460 Tamiami Trl
Port Charlotte, FL 33952
Phone (941) 235-3444
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
1990 Main St
Ste 750
Sarasota, FL 34236
Phone (888) 830-7849
209 Nassau St S
Ste 102
Venice, FL 34285
Phone (888) 830-7849
Organizations & group practices 6
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.
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- Clinical Social Worker
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- Family Medicine Physician
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- NPI 1811122880
-
- Clinical Social Worker
- Lakewood Ranch, FL
- NPI 1679082978
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
-
- Chiropractor
- Venice, FL
- NPI 1437640976
-
- Mental Health Counselor
- Port St Lucie, FL
- NPI 1801066873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495584000000",
"number": "1942565155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4060 BRUING ST",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342862466",
"telephone_number": "941-220-8256",
"fax_number": "941-237-5808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 TAMIAMI TRL",
"address_2": "STE 216",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339484017",
"telephone_number": "941-255-0405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KRISTIN",
"middle_name": "L",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-13",
"last_updated": "2017-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW10196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.