Individual provider Active NPI

Lisa Miya Jones, LMSW

  • Clinical Social Worker
  • Scottsdale, AZ
National Provider Identifier
1992706998
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LMSW-13367 Issued in AZ
Practice address
6125 E Indian School Rd Ste 1005
Scottsdale, AZ 85251-5469
Phone
(480) 877-9284
NPI assigned
Aug 2, 2005
Last updated
Apr 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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 LMSW-13367 AZ Primary

Addresses

Primary practice location

6125 E Indian School Rd Ste 1005
Scottsdale, AZ 85251-5469

Mailing address

6125 E Indian School Rd Ste 1005
Scottsdale, AZ 85251-5469
Phone (480) 877-9284

Other identifiers 1

IdentifierTypeStateIssuer
1753COtherALLCSW

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-13367AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Evolvedmd, Inc. CurrentSince May 28, 2023 Accepting new patients
Southeastern Psychiatric Management, Inc Mental Health Past Accepting new patients
Southeastern Psychiatric Management, Inc. Past Accepting new patients

Locations

6125 E Indian School Rd
Ste 1005
Scottsdale, AZ 85251
Phone (480) 801-6807

Organizations & group practices 3

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1992706998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 E INDIAN SCHOOL RD STE 1005",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515469",
            "telephone_number": "480-877-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 E INDIAN SCHOOL RD STE 1005",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515469",
            "telephone_number": "480-877-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "LISA",
        "middle_name": "MIYA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LMSW-13367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "1753C",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.