Tresa M Jones, MSW
Individual provider Active NPI Clinical Social Worker · McClellan, CA
NPI 1336375708 · NPPES record last updated Jan 3, 2022
Key facts
- NPI
- 1336375708
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 24905 (CA)
- Practice address
- 5342 Dudley Blvd
McClellan, CA 95652-1012 - Phone
- (916) 561-7616
- NPI assigned
- May 29, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24905 | CA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 24905 | CA | Yes |
Addresses
Primary practice location
5342 Dudley Blvd
McClellan, CA 95652-1012
Mailing address
5342 Dudley Blvd
McClellan, CA 95652-1012
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
Other providers in McClellan, CA
- Janelle K Fisher
- Sabri Alise Janovich
- Moon Yub Jeu
- Glenda Fe Jimenez
- Jessica Marie Johnson
- Julie Kirkes
- Debra Lynne Karling-Isaacs
- Scott Kazer
- Ashley Nicole Kingkham
- Matthew R Kugelman
All providers in McClellan, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.