TONI JONES LCSW
NPI 1306352604
Social Worker - Clinical in Shelby, NC

Active since December 21, 2017PECOS EnrolledAccepts Medicare Assignment
5 N LAFAYETTE ST STE 3, SHELBY, NC 28150(980) 552-9374(980) 552-9275 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 29, 2022, May 23, 2022, Mar 30, 2021 and 1 more (4 updates tracked since 2017).

About Toni Jones Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TONI JONES LCSW (NPI 1306352604) is an individual clinical provider in Shelby, North Carolina, licensed in North Carolina (C012540) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1306352604
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTONI JONESCredential: LCSW
Location Address5 N LAFAYETTE ST STE 3Shelby, NC 28150-5687
Mailing Address5 N Lafayette St Ste 3Shelby, NC 28150-5687 · (980) 552-9374 · Fax (980) 552-9275
Fax(980) 552-9275
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateDecember 21, 2017
Last NPPES UpdateSeptember 29, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2022
NPI 1306352604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NC · C012540
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
5 N LAFAYETTE ST STE 3, Shelby, NC 28150

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Toni Jones Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335525302
PECOS Enrollment IDI20221013000355
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28150 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
5 N LAFAYETTE ST STE 3
SHELBY, NC 28150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Toni Jones's NPI number?

The NPI number for Toni Jones is 1306352604. It was assigned to this individual provider in the NPPES registry on December 21, 2017.

Where is Toni Jones located?

Toni Jones practices at 5 N Lafayette St Ste 3, Shelby, NC 28150. The listed phone number is (980) 552-9374.

What is Toni Jones's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Toni Jones enrolled in Medicare?

Yes. Toni Jones is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Toni Jones accept?

Health plans from Blue Cross and Blue Shield of NC list Toni Jones as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Toni Jones was last updated on September 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.