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

Q: 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.

Q: What is Jolene Treadaway's specialty?

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

Q: 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.

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: October 18, 2026.

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

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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, maintains a secondary practice location in Eureka, 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

Open in Google Maps ↗

Secondary Practice Location 1

Location 1310 3rd StEureka, CA 95501-0492 · Phone (707) 467-2010

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Jolene Treadaway reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Redwood Community Services, Inc

Same address

Foster Care Agency

631 S ORCHARD AVE
Ukiah, CA 95482

Reassigned Medicare billing, California enrollment
11 clinicians in this Medicare group

NPI 1558702795 (707) 467-2010

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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