Deitra Jones, is a
Social Worker - Clinical based in Modesto, California. Deitra Jones is licensed to practice in California (license number 138559) and her current practice location is
190 E Hackett Rd, Modesto, California. She can be reached at her office (for appointments etc.) via phone at
(209) 525-7218.
NPI number for Deitra Jones is 1568892784 and her current mailing address is 190 E Hackett Rd, Modesto, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568892784.
Healthcare Provider's Profile
| Full Name | Deitra Jones |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 190 E Hackett Rd, Modesto, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568892784
- Provider Enumeration Date: 11/25/2013
- Last Update Date: 06/29/2026
Medical Identifiers
Medical identifiers for Deitra Jones such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1568892784 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | C030590115 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 138559 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deitra Jones is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Deitra Jones, 190 E Hackett Rd, Modesto, CA 95358-9001 Ph: (209) 525-7218 | Deitra Jones, 190 E Hackett Rd, Modesto, CA 95358-9001 Ph: (209) 525-7218 |
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