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JOLENE TREADAWAY LCSW
NPI 1710343785
Social Worker - Clinical in Ukiah, CA

Active since January 06, 2016PECOS Enrolled
631 S ORCHARD AVE, UKIAH, CA 95482(707) 467-2010 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 2, 2023, Jun 17, 2020, Apr 26, 2019 and 5 more (8 updates tracked since 2016).

About Jolene Treadaway Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOLENE TREADAWAY LCSW (NPI 1710343785) is an individual clinical provider in Ukiah, California, licensed in California (LCSW97579) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1710343785
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJOLENE TREADAWAYCredential: LCSW
Location Address631 S ORCHARD AVEUkiah, CA 95482-5011
Mailing AddressPo Box 2077Ukiah, CA 95482-2077 · (707) 467-2010
Phone(707) 467-2010
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 6, 2016
Last NPPES UpdateMarch 2, 20238 updates tracked since enumeration
NPPES CertifiedMarch 2, 2023
✔ NPI 1710343785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCSW97579
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
631 S ORCHARD AVE, Ukiah, CA 95482
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jolene Treadaway Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224439294
PECOS Enrollment IDI20251003003578
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95482 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.87 – $176.60
Typical copayment $0.00 (range $14.71 – $44.15)
Most-billed visit code NA
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY CHRISTINA CLAY
Community Health Worker
631 S ORCHARD AVE
UKIAH, CA 95482
Mendocino County (707) 467-2010
TIMOTHY SWAN
Day Training/Habilitation Specialist
631 S ORCHARD AVE
UKIAH, CA 95482
Mendocino County (707) 467-2010
DONNA MYERS
Day Training/Habilitation Specialist
631 S ORCHARD AVE
UKIAH, CA 95482
Mendocino County (707) 467-2010
ASHLEY RABANO
Counselor
631 S ORCHARD AVE
UKIAH, CA 95482
Mendocino County (707) 467-2010
DAVID FETZER
Day Training/Habilitation Specialist
631 S ORCHARD AVE
UKIAH, CA 95482
Mendocino County (707) 467-2010
JORGE MENDOZA REYES
Day Training/Habilitation Specialist
631 S ORCHARD AVE
UKIAH, CA 95482
Mendocino County (707) 467-2010
MRS. RIVA SORAH LEAH ORR
Counselor (Professional)
631 S ORCHARD AVE
UKIAH, CA 95482
Mendocino County (707) 467-2010
LEONORE HERNANDEZ
Day Training/Habilitation Specialist
631 S ORCHARD AVE
UKIAH, CA 95482
Mendocino County (707) 467-2010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jolene Treadaway's NPI number?

The NPI number for Jolene Treadaway is 1710343785. It was assigned to this individual provider in the NPPES registry on January 6, 2016.

Where is Jolene Treadaway located?

Jolene Treadaway practices at 631 S Orchard Ave, Ukiah, CA 95482. The listed phone number is (707) 467-2010.

What is Jolene Treadaway's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jolene Treadaway enrolled in Medicare?

Yes. Jolene Treadaway is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jolene Treadaway was last updated on March 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.