Active NPI
Jennie Gintoli, LCSW
- Clinical Social Worker
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW17503
- Practice address
- 3251 3Rd Ave N
St Petersburg, FL 33713-8506 - Phone
- (727) 321-3854
- NPI assigned
- Jun 8, 2018
- 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 | SW17503 | FL | Primary |
Addresses
Primary practice location
3251 3Rd Ave N
St Petersburg, FL 33713-8506
Mailing address
3251 3Rd Ave N
St Petersburg, FL 33713-8506
Phone (727) 321-3854
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200825003597 | FL | Practitioner - Clinical Social Worker | 2860819612 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Truecandor Behavioral Health, LLC
Practice addresses (Care Compare)
13324 Telecom Dr
Temple Terrace, FL 33637-0938
Phone 8134193386106
6320 US Hwy 301 S
Riverview, FL 33578-3829
Phone 8134193386106
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW17503 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Truecandor Behavioral Health, LLC | Current | Accepting new patients |
Locations
6320 US Highway 301 S
Riverview, FL 33578
Phone (813) 419-3386
6338 US Highway 301 S
Riverview, FL 33578
Phone (813) 245-2148
13324 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 419-3386
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": "1528416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597968000000",
"number": "1154814747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3251 3RD AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337138506",
"telephone_number": "727-321-3854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3251 3RD AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337138506",
"telephone_number": "727-321-3854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GINTOLI",
"first_name": "JENNIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-08",
"last_updated": "2020-08-21",
"certification_date": "2020-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW17503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.