Individual provider Active NPI

Sandra E Jones, LCSW

  • Clinical Social Worker
  • Fort Worth, TX
National Provider Identifier
1972674737
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06621 Issued in TX
Practice address
4513 Raintree CT
Fort Worth, TX 76103-1127
Phone
(817) 456-0959
Fax
(877) 413-7297
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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 06621 TX Primary

Addresses

Primary practice location

4513 Raintree CT
Fort Worth, TX 76103-1127

Mailing address

4513 Raintree CT
Fort Worth, TX 76103-1127
Phone (817) 456-0959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240123001715 TX Practitioner - Clinical Social Worker 6608228994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Truecare24 Physicians Group, S.C.Group PAC ID 7012308802, 26 clinicians

Practice addresses (Care Compare)

2000 E Lamar Blvd
Suite 600
Arlington, TX 76006-7361
Phone (206) 738-4179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6621TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Truecare24 Physicians Group, S.C. Mental Health CurrentSince Jan 8, 2024 Accepting new patients

Locations

8270 Woodland Center Blvd
Tampa, FL 33614
Phone (305) 449-9219

2000 E Lamar Blvd
Ste 600
Arlington, TX 76006
Phone (214) 519-9473

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1972674737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4513 RAINTREE CT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761031127",
            "telephone_number": "817-456-0959",
            "fax_number": "877-413-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 RAINTREE CT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761031127",
            "telephone_number": "817-456-0959",
            "fax_number": "877-413-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SANDRA",
        "middle_name": "E",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "06621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.