Active NPI
Latasha Yvette Jones
- Clinical Social Worker
- Fresno, CA
National Provider Identifier
1114544814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 139961
- Practice address
- 2550 W Clinton Ave Unit 311
Fresno, CA 93705-4218 - Phone
- (559) 264-7521
- NPI assigned
- Jun 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 139961 | CA | Primary |
Addresses
Primary practice location
2550 W Clinton Ave Unit 311
Fresno, CA 93705-4218
Mailing address
PO Box 12531
Fresno, CA 93778-2531
Phone (559) 246-7000
Other practice location 1
412 F St
Fresno, CA 93706-3409
Phone (559) 498-6988 ext. 112
Other practice location 2
4879 E Kings Canyon Rd
Fresno, CA 93727-3811
Phone (559) 493-1166
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107610 | CA | MD | Social Worker |
| 71120 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poverello House | Current | Accepting new patients |
Locations
412 F St
Fresno, CA 93706
Phone (559) 498-6988
Organizations & group practices 1
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.
-
- Professional Counselor
- Fresno, CA
- NPI 1144809161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1114544814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12531",
"city": "FRESNO",
"state": "CA",
"postal_code": "937782531",
"telephone_number": "559-246-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 W CLINTON AVE UNIT 311",
"city": "FRESNO",
"state": "CA",
"postal_code": "937054218",
"telephone_number": "559-264-7521"
}
],
"practiceLocations": [
{
"address_1": "412 F St",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937063409",
"country_code": "US",
"telephone_number": "559-498-6988 x112",
"fax_number": "559-485-6548",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4879 E Kings Canyon Rd",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937273811",
"country_code": "US",
"telephone_number": "559-493-1166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "LATASHA",
"middle_name": "YVETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-29",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "139961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.