Active NPI
Iesha Jones, BSW LSW
- Clinical Social Worker
- Jacksonville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 106103
- Practice address
- 1011 College Ave
Jacksonville, TX 75766-3307 - Phone
- (903) 589-9000
- NPI assigned
- Jun 6, 2017
- Last updated
- Jan 26, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | S1601289 | OH | |
| Clinical Social Worker | 1041C0700X | 106103 | TX | Primary |
Addresses
Primary practice location
1011 College Ave
Jacksonville, TX 75766-3307
Mailing address
1011 College Ave
Jacksonville, TX 75766-3307
Phone (903) 920-7781
Other practice location 1
8500 N Stemmons Fwy
Dallas, TX 75247-3832
Phone (214) 251-4170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S1601289 | OH | MD | Clinical Social Worker |
| 106103 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson Cherokee Community Enrichment Services | Current | Accepting new patients | |
| Anderson Cherokee Community Enrichment Services | Current | Accepting new patients |
Locations
1011 College Ave
Jacksonville, TX 75766
Phone (903) 541-2577
1011 College Ave
Ste Mhm
Jacksonville, TX 75766
3320 S Loop 256
Palestine, TX 75801
Phone (903) 721-6136
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1275062077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 COLLEGE AVE",
"city": "JACKSONVILLE",
"state": "TX",
"postal_code": "757663307",
"telephone_number": "903-920-7781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 COLLEGE AVE",
"city": "JACKSONVILLE",
"state": "TX",
"postal_code": "757663307",
"telephone_number": "903-589-9000"
}
],
"practiceLocations": [
{
"address_1": "8500 N Stemmons Fwy",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752473832",
"country_code": "US",
"telephone_number": "214-251-4170",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "IESHA",
"credential": "BSW LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-06",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S1601289",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "106103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.