Individual provider Active NPI

Terrance Tyrell Jones, LCSW

  • Clinical Social Worker
  • Oklahoma City, OK
National Provider Identifier
1255892956
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7707 Issued in OK
Practice address
1330 N Classen Blvd Ste 125
Oklahoma City, OK 73106-6834
Phone
(405) 923-1125
NPI assigned
Mar 26, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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 7707 OK Primary

Addresses

Primary practice location

1330 N Classen Blvd Ste 125
Oklahoma City, OK 73106-6834

Mailing address

1330 N Classen Blvd Ste 125
Oklahoma City, OK 73106-6834
Phone (405) 923-1125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20220513001798 OK Practitioner - Clinical Social Worker 3274910138 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nexus Family and Maternity Care, PLLC CurrentSince Aug 26, 2023 Accepting new patients
Cornerstone Counseling & Consulting, Inc. PastSince Feb 16, 2020 Accepting new patients

Locations

1211 N Shartel Ave
Ste 801
Oklahoma City, OK 73103
Phone (405) 702-6674

Organizations & group practices 2

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": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1255892956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 N CLASSEN BLVD STE 125",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731066834",
            "telephone_number": "405-923-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 N CLASSEN BLVD STE 125",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731066834",
            "telephone_number": "405-923-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "TERRANCE",
        "middle_name": "TYRELL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "7707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.