Tammy Renee Jones, LCSW
Individual provider Active NPI Clinical Social Worker · Garrison, TX
NPI 1992406342 · NPPES record last updated May 15, 2024
Key facts
- NPI
- 1992406342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 21410 (TX)
- Practice address
- 549 W Greenwood St
Garrison, TX 75946-2430 - Phone
- (936) 552-4670
- NPI assigned
- Mar 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21410 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sabine Valley Regional MHMR Center | Current |
Accepting new patients | |
| Sabine Valley Regional MHMR Center | Clinical | Current |
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 (903) 234-4226
1300 N 6th St
Longview, TX 75601
Phone (903) 232-8928
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 21410 | TX | |
| Clinical Social Worker | 1041C0700X | 21410 | TX | Yes |
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
Other providers in Garrison, TX
- Garrison Isd
- Garrison Nursing Home, Inc.
- Garrison Volunteer Fire Dept.
- Karissa Havins
- Jia Sha'Ronda Jenkins
- John David Liedtke
- Shelly Mills
- Kristal Parfait
- PDC Kendall Gengel Dudley Garrison LLC
- Krystal Lynn Raybon
All providers in Garrison, TX · Clinical Social Worker in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.