TAKENYA CHIMENE CLARK-JEFFERIES LCSW
NPI 1205087657
Social Worker in Grand Terrace, CA
NPI Status: Active since October 03, 2008
Contact Information
12139 MOUNT VERNON AVE STE 104
GRAND TERRACE, CA
ZIP 92313
Phone: (909) 452-5857
Fax: (909) 527-4811
- Individual
- Female
- Social Worker
- PECOS Enrolled
About TAKENYA CLARK-JEFFERIES
This page provides the complete NPI Profile along with additional information for Takenya Clark-jefferies, a provider established in Grand Terrace, California with a medical specialization in Social Worker. The healthcare provider is registered in the NPI registry with number 1205087657 assigned on October 2008. The practitioner's primary taxonomy code is 104100000X with license number LCS#62241 (CA). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1205087657
- Provider Name
- TAKENYA CHIMENE CLARK-JEFFERIES LCSW
- Other Name
- TAKENYA CHIMENE CLARK MSW
- Other Name Type
- Professional Name (2)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 12139 MOUNT VERNON AVE STE 104 GRAND TERRACE, CA 92313
- Location Phone
- (909) 452-5857
- Location Fax
- (909) 527-4811
- Mailing Address
- PO BOX 1361 BLOOMINGTON, CA 92316
- Mailing Phone
- (909) 452-5857
- Mailing Fax
- (909) 527-4811
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-03-2008
- Last Update Date
- 08-22-2023
- Code Navigator
A social worker like Takenya Clark-jefferies helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker
- Taxonomy Code
- 104100000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LCS#62241
- License State
- CA
- Taxonomy Description
- A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Medicare Participation & PECOS Enrollment Status
Takenya Clark-jefferies is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 0 | 5 | 0 | 8 | 7 | 6 | 5 | 7 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 0 | 5 | 0 | 8 | 14 | 6 | 10 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 0 + 5 + 0 + 8 + 1 + 4 + 6 + 1 + 0 + 24 = 53 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 53 = 7 | 7 |
The NPI number 1205087657 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
TERRA VISTA COUNSELING
Community/Behavioral Health
12139 MOUNT VERNON AVE STE 104
GRAND TERRACE, CA
ZIP 92313
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205087657, enumerated as an "individual" on October 03, 2008.
The provider is located at 12139 MOUNT VERNON AVE STE 104 GRAND TERRACE, CA 92313 and the phone number is (909) 452-5857.
Social Worker with taxonomy code 104100000X.