Individual provider Active NPI

Iesha Jones, BSW LSW

  • Clinical Social Worker
  • Jacksonville, TX
National Provider Identifier
1275062077
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
106103 Issued in TX
Practice address
1011 College Ave
Jacksonville, TX 75766-3307
Phone
(903) 589-9000
NPI assigned
Jun 6, 2017
Last updated
Jan 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240314002073 TX Practitioner - Clinical Social Worker 1658717475 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S1601289OHMDClinical Social Worker
106103TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Cherokee Community Enrichment Services CurrentSince Feb 3, 2024 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.

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

Verify at the official NPI Registry.