Individual provider Active NPI

Jodie K McGinty, LICSW

  • Clinical Social Worker
  • Pelham, AL
National Provider Identifier
1174176549
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4189C Issued in AL
Practice address
2100 County Services Dr
Pelham, AL 35124-6150
Phone
(205) 663-1252
NPI assigned
Jul 24, 2019
Last updated
Jul 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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 4189C AL Primary

Addresses

Primary practice location

2100 County Services Dr
Pelham, AL 35124-6150

Mailing address

PO Box 689
Calera, AL 35040-0689
Phone (205) 668-4308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20200526002380 AL Practitioner - Clinical Social Worker 5294156428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crown E-Therapy and Consulting LLCGroup PAC ID 9436569563, 3 clinicians

Practice addresses (Care Compare)

109 Willow Green Dr
Harvest, AL 35749-8891
Phone (888) 837-1790

122 Stonehaven Way
Pelham, AL 35124-3943
Phone (205) 335-9782

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Crown E-Therapy & Consulting LLC Clinical CurrentSince Apr 1, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1174176549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "350400689",
            "telephone_number": "205-668-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 COUNTY SERVICES DR",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351246150",
            "telephone_number": "205-663-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINTY",
        "first_name": "JODIE",
        "middle_name": "K",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4189C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

Verify at the official NPI Registry.