Individual provider Active NPI

Latreece Christine Perry Jones, LCSW

  • Clinical Social Worker
  • Ruskin, FL
National Provider Identifier
1902552300
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW19210 Issued in FL
Practice address
926 Cypress Village Blvd Ste B
Ruskin, FL 33573-6831
Phone
(239) 690-6906
NPI assigned
Feb 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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 SW19210 FL Primary

Addresses

Primary practice location

926 Cypress Village Blvd Ste B
Ruskin, FL 33573-6831

Mailing address

1003 E 32ND Ave
Tampa, FL 33603-5146
Phone (813) 863-6167

Other practice location 1

1003 E 32nd Ave
Tampa, FL 33603-5146
Phone (813) 863-6167

Other identifiers 1

IdentifierTypeStateIssuer
898130011456OtherFLBUSINESS ACCOUNT

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL perryjoneslatreece9@gmail.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230523000311 FL Practitioner - Clinical Social Worker 7517323272 Reassigns benefits to 2 organizations
Practice locations: Tampa, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1003 E 32ND Ave
Tampa, FL 33603-5146
Phone (813) 863-6167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bonita Springs Retirement Village, Inc. CurrentSince Oct 28, 2024 Accepting new patients
Dna Comprehensive Therapy Services, LLC Clinical CurrentSince Oct 28, 2024 Accepting new patients
Healing Through Therapy Now, PLLC CurrentSince Nov 27, 2022 Accepting new patients
Che Behavioral Health Services of Florida, P.a. Clinical CurrentSince Apr 25, 2024 Accepting new patients

Locations

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

6750 N Andrews Ave
Ste 200
Lauderdale Lakes, FL 33309
Phone (718) 408-5477

3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555

926 Cypress Village Blvd
Ste B
Sun City Center, FL 33573
Phone (813) 819-5271

5825 Argerian Dr
Ste 101
Wesley Chapel, FL 33545
Phone (813) 687-4870

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1902552300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 E 32ND AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336035146",
            "telephone_number": "813-863-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 CYPRESS VILLAGE BLVD STE B",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335736831",
            "telephone_number": "239-690-6906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 E 32nd Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336035146",
            "country_code": "US",
            "telephone_number": "813-863-6167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY JONES",
        "first_name": "LATREECE",
        "middle_name": "CHRISTINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS ACCOUNT",
            "identifier": "898130011456",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "perryjoneslatreece9@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1003 E 32nd Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336035146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ruskin, FL

Sources for this page

Verify at the official NPI Registry.