Individual provider Active NPI

Trakesha J Jones, LCSW

  • Clinical Social Worker
  • Suffolk, VA
National Provider Identifier
1275009557
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904010624 Issued in VA
Practice address
1024 Centerbrooke LN Unit 223
Suffolk, VA 23434-8291
Phone
(757) 276-6016
NPI assigned
Oct 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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 0904010624 VA Primary

Addresses

Primary practice location

1024 Centerbrooke LN Unit 223
Suffolk, VA 23434-8291

Mailing address

1024 Centerbrooke LN Unit 223
Suffolk, VA 23434-8291
Phone (757) 276-6016

Other identifiers 1

IdentifierTypeStateIssuer
1275009557MedicaidVA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904010624VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
TR Consultants CurrentSince Jan 12, 2020 Accepting new patients

Locations

2480 Pruden Blvd
#B
Suffolk, VA 23434

2480 Pruden Blvd
Suffolk, VA 23434
Phone (757) 276-6016

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": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1275009557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 CENTERBROOKE LN UNIT 223",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348291",
            "telephone_number": "757-276-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 CENTERBROOKE LN UNIT 223",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348291",
            "telephone_number": "757-276-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "TRAKESHA",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275009557",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.