Active NPI
Serena Darcell Jones, LCSW
- Clinical Social Worker
- Memphis, TN
National Provider Identifier
1700306818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-9767
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| C-9767 | MS | MD | Clinical Social Worker |
| 10407 | TN | MD | Pediatric Dentist |
| 6738 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Healthcare Solutions, PLLC. | Current | 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.
-
- Rural Health Clinic/Center
- Brownsville, TN
- NPI 1780393991
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.