Individual provider Active NPI

Evelyn Jones, LCSW, M.ED.

  • Clinical Social Worker
  • Wilmington, CA
National Provider Identifier
1043841562
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
130127 Issued in CA
Practice address
1238 N Marine Ave
Wilmington, CA 90744-3129
Phone
(424) 305-0333
NPI assigned
Feb 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2026

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 130127 CA Primary

Addresses

Primary practice location

1238 N Marine Ave
Wilmington, CA 90744-3129

Mailing address

1238 N Marine Ave
Wilmington, CA 90744-3129
Phone (424) 305-0333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20251013000640 CA Practitioner - Clinical Social Worker 5193222420 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of San JoaquinGroup PAC ID 6002703436, 199 clinicians

Practice addresses (Care Compare)

1212 N California St
Stockton, CA 95202-1552
Phone (209) 468-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Lee&Lee Therapy Inc Clinical CurrentSince Aug 2, 2025 Accepting new patients
San Joaquin Behavioral Health Services Clinical CurrentSince Oct 5, 2025 Accepting new patients
County of San Joaquin CurrentSince Oct 5, 2025 Accepting new patients

Locations

1209 W Tokay St
Ste 5
Lodi, CA 95240
Phone (209) 331-2070

3756 Santa Rosalia Dr
Ste 211
Los Angeles, CA 90008
Phone (323) 295-5965

2202 S Figueroa St
Los Angeles, CA 90007
Phone (213) 749-1249

1212 N California St
Stockton, CA 95202
Phone (209) 468-8660

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1043841562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 N MARINE AVE",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907443129",
            "telephone_number": "424-305-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 N MARINE AVE",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907443129",
            "telephone_number": "424-305-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "EVELYN",
        "credential": "LCSW, M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "130127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, CA

Sources for this page

Verify at the official NPI Registry.