Individual provider Active NPI

Cheryl Renee Jones, LICSW, PIP

  • Clinical Social Worker
  • Tuskegee, AL
National Provider Identifier
1568974954
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4050C Issued in AL
Practice address
4280 US Highway 29 S
Tuskegee, AL 36083-5950
Phone
(334) 727-2216
NPI assigned
Oct 25, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4050C AL Primary

Addresses

Primary practice location

4280 US Highway 29 S
Tuskegee, AL 36083-5950

Mailing address

PO Box 830275
Tuskegee, AL 36083-0275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • 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
I20180829002256 AL Practitioner - Clinical Social Worker 8628328481 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4050CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kolbe Clinic LLC Clinical CurrentSince Jun 15, 2020 Accepting new patients
Optum Behavioral Care of Virginia, Inc. Current Accepting new patients
Optum Behavioral Care of Virginia, Inc. Clinical CurrentSince Sep 15, 2025 Accepting new patients
Optum Behavioral Care of Virginia, Inc. Clinical CurrentSince Sep 15, 2025 Accepting new patients

Locations

109 Foothills Pkwy
Ste 113
Chelsea, AL 35043
Phone (205) 451-9742

1830 Montclair Rd
Ste A
Irondale, AL 35210
Phone (205) 775-0300

1110 Montlimar Dr
Ste 500
Mobile, AL 36609
Phone (251) 662-9466

80 Herren Hill Rd
Ste C
Tallassee, AL 36078
Phone (205) 882-7007

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1568974954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 830275",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "360830275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 US HIGHWAY 29 S",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "360835950",
            "telephone_number": "334-727-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CHERYL",
        "middle_name": "RENEE",
        "credential": "LICSW, PIP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4050C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuskegee, AL

Sources for this page

Verify at the official NPI Registry.