Jina Vincent Bradford McCann

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

27599 Issued in MN

Practice address

8501 Tanner Williams Rd
Aviation Training Center Mobile
Mobile, AL 36608-8322

Phone

(251) 441-6725

Fax

(251) 441-6415

NPI assigned

Jan 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1144209826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6348 LYNWOOD BLVD",
            "city": "MOUND",
            "state": "MN",
            "postal_code": "553641404",
            "telephone_number": "617-901-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 TANNER WILLIAMS RD",
            "address_2": "AVIATION TRAINING CENTER MOBILE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366088322",
            "telephone_number": "251-441-6725",
            "fax_number": "251-441-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "JINA",
        "middle_name": "VINCENT BRADFORD",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "27599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Kaye McCabe, MD, RD
• Daniel T McCall III, M.D.
• Latya Onjalek McCall, NURSE PRACTITIONER
• Melanie Ann McCall, PHARM D, BCPS
• Dorriette McCann, CNA
• Stephen R McCardle, CRNA
• Cullen McCarthy, MD
• Mark D McCaslin, MD
• Charles Eric McCathran, M. D.
• Jossane McClantoc

• Clinical Social Worker in Mobile, AL
• Providers in Mobile, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.