Tiffannie Montaque-Jenkins, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

135620 Issued in CA

Practice address

7527 W Linne Rd
Tracy, CA 95304-9290

Phone

(510) 564-6999

NPI assigned

Nov 17, 2021

Last updated

Dec 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1962168690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7527 W LINNE RD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953049290",
            "telephone_number": "510-564-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7527 W LINNE RD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953049290",
            "telephone_number": "510-564-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAQUE-JENKINS",
        "first_name": "TIFFANNIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "135620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modesto Radiological Medical Group, Inc
• Mahesh G Modi, MD
• Justin Mok
• David Charles Moline, OD
• Marshal Monasterio
• Phoebe-Elyn Estrada Montemayor, D.D.S.
• Alyssa Montiel
• Joey Montiel
• Anthony Monty
• Amanda Moore

• Clinical Social Worker in Tracy, CA
• Providers in Tracy, 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 Dec 17, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.