Individual provider Active NPI

Latasha Yvette Jones

  • Clinical Social Worker
  • Fresno, CA
National Provider Identifier
1114544814
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
139961 Issued in CA
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

Updated by the provider on Jul 13, 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 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

LicenseStateTypeSpecialty
107610CAMDSocial Worker
71120CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Poverello House CurrentSince Jul 1, 2022 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.

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.

Verify at the official NPI Registry.