Individual provider Active NPI

Jennifer Justice Pritikin Gattuso, MASW, LCSW

  • Clinical Social Worker
  • Vero Beach, FL
National Provider Identifier
1215760285
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23473 Issued in FL
Practice address
1702 Club Dr
Vero Beach, FL 32963-2258
Phone
(772) 222-5001
NPI assigned
Aug 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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 23473 FL Primary

Addresses

Primary practice location

1702 Club Dr
Vero Beach, FL 32963-2258

Mailing address

1702 Club Dr
Vero Beach, FL 32963-2258
Phone (772) 222-5001

Other practice location 1

8050 95th Ct
Vero Beach, FL 32967-3831
Phone (513) 461-3747

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250423002414 FL Practitioner - Clinical Social Worker 1759806631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Compassionate Psychiatric Services LLCGroup PAC ID 6608153911, 5 clinicians

Practice addresses (Care Compare)

1702 Club Dr
Vero Beach, FL 32963-2258
Phone (772) 332-2635

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23473FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Psychiatric Services LLC CurrentSince Mar 18, 2025 Accepting new patients

Locations

1702 Club Dr
Vero Beach, FL 32963
Phone (772) 222-5001

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": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1215760285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 CLUB DR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329632258",
            "telephone_number": "772-222-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 CLUB DR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329632258",
            "telephone_number": "772-222-5001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8050 95th Ct",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329673831",
            "country_code": "US",
            "telephone_number": "513-461-3747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GATTUSO",
        "first_name": "JENNIFER",
        "middle_name": "JUSTICE PRITIKIN",
        "credential": "MASW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-23",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "23473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.