Individual provider Active NPI

Tiera York Jones, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1679928204
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24570 Issued in MD
Practice address
9201 Philadelphia Rd
Baltimore, MD 21237-4318
Phone
(410) 453-9553
NPI assigned
May 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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 24570 MD Primary

Addresses

Primary practice location

9201 Philadelphia Rd
Baltimore, MD 21237-4318

Mailing address

7205 Bogley Rd Unit 302
Windsor Mill, MD 21244-8126
Phone (410) 419-2771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20201214001615 MD Practitioner - Clinical Social Worker 7618389776 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Totally Whole Pastoral Counseling Services, LLCGroup PAC ID 9032405717, 3 clinicians

Practice addresses (Care Compare)

1701 Madison Ave
Baltimore, MD 21217-3731
Phone (410) 728-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
24570MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mind & Soul Telewellness LLC CurrentSince Sep 11, 2020 Accepting new patients
Totally Whole Pastoral Counseling Services, LLC Clinical CurrentSince Feb 21, 2022 Accepting new patients

Locations

1701 Madison Ave
Baltimore, MD 21217
Phone (410) 462-3802

1701 Madison Ave
Ste 500
Baltimore, MD 21217

1601 Saint Paul St
Apt 2
Baltimore, MD 21202
Phone (410) 921-9800

320 E Towsontown Blvd
Ste 201
Towson, MD 21286
Phone (410) 296-2004

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1679928204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 BOGLEY RD UNIT 302",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212448126",
            "telephone_number": "410-419-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 PHILADELPHIA RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374318",
            "telephone_number": "410-453-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "TIERA",
        "middle_name": "YORK",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "24570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.