Ronkeisha Kaia Woods, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

81182 Issued in CA

Practice address

1797 San Jose Ave
Clovis, CA 93611-3078

Phone

(559) 298-0699

NPI assigned

Jul 24, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• 2ND Home Incorporated

  • Mental Illness Community Based Residential Treatment Facility
  • Clovis, CA
  • NPI 1730716952
  NPD
• 2ND Home Incorporated

  • Mental Illness Community Based Residential Treatment Facility
  • Clovis, CA
  • NPI 1144950080
  NPD (past)
• 2ND Home Incorporated

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1346877594
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1295965135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 N WILLOW AVE STE 103",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936114411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 SAN JOSE AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936113078",
            "telephone_number": "559-298-0699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2361 Sample Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936115425",
            "country_code": "US",
            "telephone_number": "559-323-4502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3239 E Tenaya Way",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105924",
            "country_code": "US",
            "telephone_number": "559-298-0697",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6051 N Fresno St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105280",
            "country_code": "US",
            "telephone_number": "559-248-8550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODS",
        "first_name": "RONKEISHA",
        "middle_name": "KAIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-24",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "81182",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Wong, PA-C
• Marianna Wong, RPH
• Valerie Lee Wong, R.D.
• Carrie Wood, LMFT
• Marriah Woods
• Spencer Woolwine, MD
• Jeffery Michael Worley, PHARM.D.
• Vivien Worley
• Woundxpert and Primary Care
• Jeremy Wurzbach

• All providers in Clovis, CA
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.