Healthcare Provider Details

I. General information

NPI: 1073809083
Provider Name (Legal Business Name): TEPHINY JONES MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2011
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2180 MILVIA ST
BERKELEY CA
94704-1122
US

IV. Provider business mailing address

2180 MILVIA ST
BERKELEY CA
94704-1122
US

V. Phone/Fax

Practice location:
  • Phone: 510-981-5249
  • Fax:
Mailing address:
  • Phone: 510-981-5249
  • Fax: 510-981-5290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: