Individual provider Active NPI

Tammy Renee Jones, LCSW

  • Clinical Social Worker
  • Garrison, TX
National Provider Identifier
1992406342
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21410 Issued in TX
Practice address
549 W Greenwood St
Garrison, TX 75946-2430
Phone
(936) 552-4670
NPI assigned
Mar 13, 2023
Last updated
May 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 21410 TX
Clinical Social Worker 1041C0700X 21410 TX Primary

Addresses

Primary practice location

549 W Greenwood St
Garrison, TX 75946-2430

Mailing address

549 W Greenwood St
Garrison, TX 75946-2430
Phone (936) 552-4670

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21410TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sabine Valley Regional MHMR Center Clinical CurrentSince Apr 21, 2024 Accepting new patients
Sabine Valley Regional MHMR Center CurrentSince Apr 21, 2024 Accepting new patients
Shine Medical Providers PC Past Accepting new patients

Locations

209 N Main St
Henderson, TX 75652
Phone (903) 657-7526

107 Woodbine Pl
Longview, TX 75601
Phone (800) 446-8253

1300 N 6th St
Longview, TX 75601
Phone (903) 232-8928

Organizations & group practices 3

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": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1992406342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 W GREENWOOD ST",
            "city": "GARRISON",
            "state": "TX",
            "postal_code": "759462430",
            "telephone_number": "936-552-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 W GREENWOOD ST",
            "city": "GARRISON",
            "state": "TX",
            "postal_code": "759462430",
            "telephone_number": "936-552-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "TAMMY",
        "middle_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "21410",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "21410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garrison, TX

Sources for this page

Verify at the official NPI Registry.