Individual provider Active NPI

Jeanne E Assinthe, LCSW

  • Clinical Social Worker
  • Fort Lauderdale, FL
National Provider Identifier
1043552532
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW13131 Issued in FL
Practice address
3131 NW 68TH CT
Fort Lauderdale, FL 33309-1232
Phone
(305) 310-3015
Fax
(305) 847-1432
NPI assigned
Mar 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW13131 FL Primary

Addresses

Primary practice location

3131 NW 68TH CT
Fort Lauderdale, FL 33309-1232

Mailing address

3131 NW 68TH CT
Fort Lauderdale, FL 33309-1232
Phone (305) 310-3015

Other identifiers 1

IdentifierTypeStateIssuer
022753900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160314001084 FL Practitioner - Clinical Social Worker 9931405255 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1043552532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 NW 68TH CT",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091232",
            "telephone_number": "305-310-3015",
            "fax_number": "305-847-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 NW 68TH CT",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091232",
            "telephone_number": "305-310-3015",
            "fax_number": "305-847-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASSINTHE",
        "first_name": "JEANNE",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-22",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022753900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.