Individual provider Active NPI

Marianne Jones, LCSW, RN

  • Social Worker
  • Cocoa, FL
National Provider Identifier
1992831937
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW1724 Issued in FL
Practice address
690 Friday Rd
Cocoa, FL 32926-3317
Phone
(321) 636-9941
Fax
(321) 636-0915
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW1724 FL Primary

Addresses

Primary practice location

690 Friday Rd
Cocoa, FL 32926-3317

Mailing address

690 Friday Rd
Cocoa, FL 32926-3317
Phone (321) 636-9941

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100315000217 FL Practitioner - Clinical Social Worker 6103862297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Counseling Center, Inc.Group PAC ID 5395781488, 2 clinicians

Practice addresses (Care Compare)

690 Friday Rd
Cocoa, FL 32926-3317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
SW1724FLMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Preservation Services CurrentSince Jul 1, 1990 Accepting new patients
A Counseling Center, Inc. CurrentSince Dec 30, 1989 Accepting new patients

Locations

690 Friday Rd
Cocoa, FL 32926
Phone (321) 427-9907

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992831937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 FRIDAY RD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329263317",
            "telephone_number": "321-636-9941",
            "fax_number": "321-636-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 FRIDAY RD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329263317",
            "telephone_number": "321-636-9941",
            "fax_number": "321-636-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MARIANNE",
        "credential": "LCSW, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW1724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

Verify at the official NPI Registry.