Individual provider Active NPI

J Jiongo

  • Social Worker
  • Fort Worth, TX
National Provider Identifier
1366362501
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
117037 Issued in TX
Practice address
5608 Malvey Ave Ste 104
Fort Worth, TX 76107-5107
Phone
(214) 702-3566
NPI assigned
Jul 17, 2026
Last updated
Jul 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 117037 TX Primary

Addresses

Primary practice location

5608 Malvey Ave Ste 104
Fort Worth, TX 76107-5107

Mailing address

5608 Malvey Ave Ste 104
Fort Worth, TX 76107-5107
Phone (214) 702-3566

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
117037TXMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1784246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1366362501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 MALVEY AVE STE 104",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075107",
            "telephone_number": "214-702-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5608 MALVEY AVE STE 104",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075107",
            "telephone_number": "214-702-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIONGO",
        "first_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-17",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "117037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.