Individual provider Active NPI

Serena Darcell Jones, LCSW

  • Clinical Social Worker
  • Memphis, TN
National Provider Identifier
1700306818
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-9767 Issued in MS
Practice address
1030 Jefferson Ave
Service Number 122
Memphis, TN 38104
Phone
(901) 523-8990
Fax
(901) 725-0437
NPI assigned
Jun 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 10407 TN
Clinical Social Worker 1041C0700X 6738 TN
Clinical Social Worker 1041C0700X C-9767 MS Primary

Addresses

Primary practice location

1030 Jefferson Ave
Service Number 122
Memphis, TN 38104

Mailing address

2965 Melanie CV
Nesbit, MS 38651-1024
Phone (662) 404-0877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20250310001772 TN Practitioner - Clinical Social Worker 7315468196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Healthcare Solutions, PLLC.Group PAC ID 4789054495, 3 clinicians

Practice addresses (Care Compare)

20 N Washington Ave
Brownsville, TN 38012-2555

6128 Lamb Woods Dr
Bartlett, TN 38135-9257
Phone (662) 721-2304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-9767MSMDClinical Social Worker
10407TNMDPediatric Dentist
6738TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Healthcare Solutions, PLLC. CurrentSince Feb 10, 2025 Accepting new patients

Locations

6025 Stage Rd
Ste 42440
Bartlett, TN 38134

20 N Washington Ave
Brownsville, TN 38012
Phone (731) 741-4030

Organizations & group practices 1

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": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1700306818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 MELANIE CV",
            "city": "NESBIT",
            "state": "MS",
            "postal_code": "386511024",
            "telephone_number": "662-404-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 JEFFERSON AVE",
            "address_2": "SERVICE NUMBER 122",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38104",
            "telephone_number": "901-523-8990",
            "fax_number": "901-725-0437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SERENA",
        "middle_name": "DARCELL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "10407",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6738",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C-9767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.