Individual provider Active NPI

Kylee Sierra Jones, LCSW

  • Clinical Social Worker
  • Riverside, CA
National Provider Identifier
1801512660
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110243 Issued in CA
Practice address
3742 Tibbetts St Ste 201
Riverside, CA 92506-2641
Phone
(626) 782-5570
NPI assigned
Oct 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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 110243 CA Primary

Addresses

Primary practice location

3742 Tibbetts St Ste 201
Riverside, CA 92506-2641

Mailing address

PO Box 911484
Commerce, CA 90091-1239
Phone (626) 782-5570

Other practice location 1

5800 S Eastern Ave Ste 502
Commerce, CA 90040-4016
Phone (626) 782-5570 ext. 2

Other names 1

  • Miss Kylee Sierra Magby Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20260506001120 CA Order and Referring Only - Clinical Social Worker 1658716345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110243CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Indigenous Circle of Wellness; Individual, Couple, Family Counseling CurrentSince Oct 1, 2022 Accepting new patients

Locations

5800 S Eastern Ave
Ste 260
Commerce, CA 90040
Phone (323) 203-4868

5800 S Eastern Ave
Ste 500
Commerce, CA 90040
Phone (323) 308-9397

3742 Tibbetts St
Ste 201
Riverside, CA 92506
Phone (951) 261-8217

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1801512660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911484",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900911239",
            "telephone_number": "626-782-5570",
            "fax_number": "323-680-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3742 TIBBETTS ST STE 201",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062641",
            "telephone_number": "626-782-5570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5800 S Eastern Ave Ste 502",
            "address_purpose": "LOCATION",
            "city": "Commerce",
            "state": "CA",
            "postal_code": "900404016",
            "country_code": "US",
            "telephone_number": "626-782-5570 x2",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "KYLEE",
        "middle_name": "SIERRA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-13",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "110243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLEE",
            "last_name": "MAGBY",
            "middle_name": "SIERRA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.