Provider Demographics
NPI:1871942862
Name:JONES, TIFFANY MONIQUE (MSW, PPSC, LCSW)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:MONIQUE
Last Name:JONES
Suffix:
Gender:F
Credentials:MSW, PPSC, LCSW
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:MONIQUE
Other - Last Name:SHEPHERD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, PPSC, LCSW
Mailing Address - Street 1:520 BEECH ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93304-1808
Mailing Address - Country:US
Mailing Address - Phone:661-549-9291
Mailing Address - Fax:
Practice Address - Street 1:4200 ASHE RD
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93313-2029
Practice Address - Country:US
Practice Address - Phone:661-831-8331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-09
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1199451041C0700X, 1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical