Active NPI
Jennifer Tipton, RCSWI
- Clinical Social Worker
- Flagler Beach, FL
National Provider Identifier
1093674954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW22557
- Practice address
- 559 N 10TH St
Flagler Beach, FL 32136-3132 - Phone
- (917) 397-0149
- NPI assigned
- Jan 16, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW22557 | FL | Primary |
Addresses
Primary practice location
559 N 10TH St
Flagler Beach, FL 32136-3132
Mailing address
559 N 10TH St
Flagler Beach, FL 32136-3132
Phone (917) 397-0149
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW22557 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Tipton, LLC | Clinical | Current | Accepting new patients |
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": "1768521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768521600000",
"number": "1093674954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "559 N 10TH ST",
"city": "FLAGLER BEACH",
"state": "FL",
"postal_code": "321363132",
"telephone_number": "917-397-0149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "559 N 10TH ST",
"city": "FLAGLER BEACH",
"state": "FL",
"postal_code": "321363132",
"telephone_number": "917-397-0149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIPTON",
"first_name": "JENNIFER",
"credential": "RCSWI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-16",
"last_updated": "2026-01-16",
"certification_date": "2026-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "ISW22557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flagler Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.