Individual provider Active NPI

Jennifer Winslow

  • Clinical Social Worker
  • Winchester, VA
National Provider Identifier
1215606470
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0906011297 Issued in VA
Practice address
44 S Cameron St Ste a&B
Winchester, VA 22601-6087
Phone
(540) 404-5985
NPI assigned
Sep 10, 2021
Last updated
Sep 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 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 0906011297 VA Primary

Addresses

Primary practice location

44 S Cameron St Ste a&B
Winchester, VA 22601-6087

Mailing address

44 S Cameron St Ste a&B
Winchester, VA 22601-6087
Phone (540) 404-5985

Other identifiers 1

IdentifierTypeStateIssuer
0906011297OtherVASUPERVISEE IN CLINICAL SOCIAL WORK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@connectedcommunitiesinc.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20231121002328 VA Practitioner - Clinical Social Worker 0143678714 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
West Virginia University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carpe Diem CounselingGroup PAC ID 0840670329, 5 clinicians

Practice addresses (Care Compare)

200 N Braddock St
Winchester, VA 22601-3918
Phone (504) 307-1644

2021 Brucetown Rd
Clear Brook, VA 22624-1208
Phone (540) 579-2779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0906011297VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carpe Diem Counseling Clinical CurrentSince Nov 14, 2023 Accepting new patients
A Brighter Hope PLLC Clinical CurrentSince Nov 1, 2025 Accepting new patients
Cacapon Counseling Services PastSince Feb 19, 2023 Accepting new patients

Locations

200 N Braddock St
Winchester, VA 22601
Phone (504) 307-1644

201 N Loudoun St
Ste 202
Winchester, VA 22601
Phone (540) 773-1620

Organizations & group practices 3

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": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1215606470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 S CAMERON ST STE A&B",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016087",
            "telephone_number": "540-404-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 S CAMERON ST STE A&B",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016087",
            "telephone_number": "540-404-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSLOW",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0906011297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERVISEE IN CLINICAL SOCIAL WORK",
            "identifier": "0906011297",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@connectedcommunitiesinc.org",
            "affiliation": "N",
            "address_1": "44 S Cameron St Ste A&b",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226016087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.