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SANDRA KAY JONES LPC
NPI 1891807343
Social Worker in Clarksburg, WV

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
6 HOSPITAL PLZ, CLARKSBURG, WV 26301(304) 623-5661(304) 623-2180 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sandra Kay Jones Lpc NPPES

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

SANDRA KAY JONES LPC (NPI 1891807343) is an individual social worker in Clarksburg, West Virginia, licensed in West Virginia (AP00941659) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1891807343
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSANDRA KAY JONESCredential: LPC
Location Address6 HOSPITAL PLZClarksburg, WV 26301-9316
Mailing Address6 Hospital PlzClarksburg, WV 26301-9316 · (304) 623-5661 · Fax (304) 623-2180
Phone(304) 623-5661
Fax(304) 623-2180
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateAugust 31, 2006
Last NPPES UpdateSeptember 11, 2025
NPPES CertifiedNovember 1, 2024
✔ NPI 1891807343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in WV · AP00941659
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 1446 (WV)

Other Identifiers 1

OtherWV41659WV · Thp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sandra Kay Jones Lpc 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 ID7618329277
PECOS Enrollment IDI20240118003698
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sandra Jones reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

United Summit Center Inc
Mental Health
6 HOSPITAL PLZ
Clarksburg, WV 26301
  • Reassigned Medicare billing, West Virginia enrollment
  • 25 clinicians in this Medicare group
NPI 1750332524 (304) 623-5661
Wvu Medical Corporation
Family Medicine
6040 UNIVERSITY TOWN CENTER DRIVE
Morgantown, WV 26501
  • Reassigned Medicare billing, West Virginia enrollment
  • Medicare enrollment name: West Virginia University Medical Corporation
  • 2,471 clinicians in this Medicare group
NPI 1164828224 (304) 598-4800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

UNITED SUMMIT CENTER INC
Community/Behavioral Health
6 HOSPITAL PLZ
CLARKSBURG, WV 26301
Harrison County (304) 623-5661
JORDAN ELLIOTT
Counselor (Addiction (Substance Use Disorder))
6 HOSPITAL PLZ
CLARKSBURG, WV 26301
Harrison County (304) 623-5661
MICHEAL E COFFMAN RN
Registered Nurse (General Practice)
6 HOSPITAL PLZ
CLARKSBURG, WV 26301
Harrison County (304) 623-5661
JESSICA WEBB
Counselor (Addiction (Substance Use Disorder))
6 HOSPITAL PLZ
CLARKSBURG, WV 26301
Harrison County (304) 623-5661
JARROD L WEST LPN
Licensed Practical Nurse
6 HOSPITAL PLZ
CLARKSBURG, WV 26301
Harrison County (304) 623-5661
MICHELLE L ZEMONICK JENKINS CMA
Community Health Worker
6 HOSPITAL PLZ
CLARKSBURG, WV 26301
Harrison County (304) 623-2989
AUVID MOMEN MD
Psychiatry & Neurology (Psychiatry)
6 HOSPITAL PLZ
CLARKSBURG, WV 26301
Harrison County (304) 623-5661
TRACY COKELEY
Technician (Personal Care Attendant)
6 HOSPITAL PLZ
CLARKSBURG, WV 26301
Harrison County (304) 623-5661

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 Sandra Jones's NPI number?

The NPI number for Sandra Jones is 1891807343. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Sandra Jones located?

Sandra Jones practices at 6 Hospital Plz, Clarksburg, WV 26301. The listed phone number is (304) 623-5661.

What is Sandra Jones's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Sandra Jones enrolled in Medicare?

Yes. Sandra 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.

Which organizations bill Medicare for Sandra Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Jones reassigns Medicare benefits to 2 organizations: United Summit Center Inc (Clarksburg, WV) and Wvu Medical Corporation (Morgantown, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandra Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Jones accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Sandra 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 Sandra Jones was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.