Serena Anne Jones, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 15214 Issued in CA

Practice address

776 S State St
Suite 107
Ukiah, CA 95482-5847

Phone

(707) 463-4915

Fax

(707) 463-4917

NPI assigned

Nov 1, 2010

Last updated

Sep 19, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mendocino County Youth Project

  • Community/Behavioral Health Agency
  • Ukiah, CA
  • NPI 1225182470
  Authorized official Same address or phone
• Mendocino County Youth Project

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ukiah, CA
  • NPI 1689070211
  Authorized official Same address or phone
• Mendocino Community Health Clinic, Inc.

  dba Dora Street Health Center

  • Federally Qualified Health Center (FQHC)
  • Ukiah, CA
  • NPI 1356714646
  NPD
• Mendocino Community Health Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ukiah, CA
  • NPI 1497961106
  NPD

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1871893230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 S STATE ST",
            "address_2": "SUITE 107",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825847",
            "telephone_number": "707-463-4915",
            "fax_number": "707-463-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 S STATE ST",
            "address_2": "SUITE 107",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825847",
            "telephone_number": "707-463-4915",
            "fax_number": "707-463-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SERENA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 15214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Arthur Johnson, D.D.S.
• Kelly Rene Johnson
• Casey A Johnston, M.D
• Ernest Jones
• Marissa Christine Jones
• Tonya Jones
• Treavor Jones
• Evita Joseph, MD
• Jay Samuel Joseph, M.D.
• Juliann Elizabeth Joseph, CNM/ WHNP-BC

• Clinical Social Worker in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.