Active NPI
Tiara N Jones, LCSW
- Clinical Social Worker
- San Leandro, CA
National Provider Identifier
1922256379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 61367
- Practice address
- 660 Fargo Ave
Unit 5
San Leandro, CA 94579-2149 - Phone
- (510) 731-0077
- NPI assigned
- Aug 28, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 61367 | CA | Primary |
Addresses
Primary practice location
660 Fargo Ave
Unit 5
San Leandro, CA 94579-2149
Mailing address
660 Fargo Ave
Unit 5
San Leandro, CA 94579-2149
Phone (510) 468-7067
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61367 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489881600000",
"number": "1922256379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 FARGO AVE",
"address_2": "UNIT 5",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945792149",
"telephone_number": "510-468-7067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 FARGO AVE",
"address_2": "UNIT 5",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945792149",
"telephone_number": "510-731-0077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "TIARA",
"middle_name": "N",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-28",
"last_updated": "2017-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "61367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.