Individual provider Active NPI

Tyesha Jones, LCSW

  • Clinical Social Worker
  • Pearland, TX
National Provider Identifier
1881108728
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
66109 Issued in TX
Practice address
11601 Shadow Creek Pkwy Ste 111-549
Pearland, TX 77584-7283
Phone
(713) 489-4248
Fax
(713) 955-9032
NPI assigned
Nov 30, 2017
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 66109 TX Primary
Clinical Social Worker 1041C0700X 093089 NY

Addresses

Primary practice location

11601 Shadow Creek Pkwy Ste 111-549
Pearland, TX 77584-7283

Mailing address

3129 Kingsley Dr Ste 740
Pearland, TX 77584-8508
Phone (713) 489-4248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
66109TXMDCounselor
093089NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Power of Choice PLLC Clinical CurrentSince Mar 3, 2024 Accepting new patients

Locations

2440 Texas Pkwy
Ste 340A
Missouri City, TX 77489
Phone (832) 598-4003

11601 Shadow Creek Pkwy
Ste 111549
Pearland, TX 77584
Phone (713) 489-4248

3129 Kingsley Dr
Ste 740
Pearland, TX 77584
Phone (713) 489-4248

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": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1881108728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 KINGSLEY DR STE 740",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848508",
            "telephone_number": "713-489-4248",
            "fax_number": "713-955-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 SHADOW CREEK PKWY STE 111-549",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847283",
            "telephone_number": "713-489-4248",
            "fax_number": "713-955-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "TYESHA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66109",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "093089",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.