Stacey Jones

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9031 Issued in CT

Practice address

75 Granite St
New London, CT 06320-5730

Phone

(860) 437-4550

NPI assigned

Jul 12, 2010

Last updated

Aug 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Windham Community Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Willimantic, CT
  • NPI 1023191467
  Medicare reassignment NPD
• Peace in Wellness Counseling LLC

  • Clinical Social Worker
  • Marlborough, CT
  • NPI 1104597467
  NPD Authorized official
• Child and Family Agency of Southeastern Connecticut, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New London, CT
  • NPI 1093762114
  NPD (past)
• Child and Family Agency of Southeastern Connecticut, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New London, CT
  • NPI 1679614242
  NPD (past)
• Windham Community Memorial Hospital

  • General Acute Care Hospital
  • North Windham, CT
  • NPI 1265860373
  NPD (past)

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1972815561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MONTICELLO ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062261325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 GRANITE ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063205730",
            "telephone_number": "860-437-4550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 Tuckie Rd",
            "address_purpose": "LOCATION",
            "city": "North Windham",
            "state": "CT",
            "postal_code": "062561317",
            "country_code": "US",
            "telephone_number": "860-465-2610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "STACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-12",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "9031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaalib Johnson
• Steven Paul Johnson, MD
• Gregory S Johnston, M.D.
• Audrey E Jones
• Geralyn Jones, LCSW
• Marjorie D Jordan, LCSW
• Michael W Joseph, M.D.
• Pamela Julien, PH.D.
• Zivon Kaczor, BA
• Sudhir Kadian, M.D.

• Clinical Social Worker in New London, CT
• Providers in New London, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.