Individual provider Active NPI

Jennifer Rose Grillo, LCSW

  • Clinical Social Worker
  • Winter Garden, FL
National Provider Identifier
1295485449
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW19747 Issued in FL
Practice address
13350 W Colonial Dr Ste 340
Winter Garden, FL 34787-3977
Phone
(352) 697-1707
NPI assigned
Mar 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SW19747 FL
Clinical Social Worker 1041C0700X SW19747 FL Primary

Addresses

Primary practice location

13350 W Colonial Dr Ste 340
Winter Garden, FL 34787-3977

Mailing address

13350 W Colonial Dr Ste 340
Winter Garden, FL 34787-3977
Phone (352) 697-1707

Other practice location 1

2804 W Marc Knighton Ct Ste A
Lecanto, FL 34461-6301
Phone (352) 746-8067

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL http://linkedin.com/in/jennifer-grillo-773a09138 Direct

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
I20220523001228 FL Practitioner - Clinical Social Worker 1153708615 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians
Counseling Resource Services, Inc.Group PAC ID 3779884093, 30 clinicians

Practice addresses (Care Compare)

Lake Worth, FL 33461
Phone (323) 205-7088

13350 W Colonial Dr
Suite 340
Winter Garden, FL 34787-3977
Phone (407) 654-4433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW19747FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Mental Health CurrentSince May 1, 2025 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Aug 25, 2022 Accepting new patients
Counseling Resource Services, Inc. CurrentSince Mar 28, 2022 Accepting new patients

Locations

2328 10th Ave N
Ste 201
Lake Worth, FL 33461
Phone (561) 236-7622

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

13350 W Colonial Dr
Ste 340
Winter Garden, FL 34787
Phone (407) 654-4433

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1295485449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13350 W COLONIAL DR STE 340",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873977",
            "telephone_number": "352-697-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13350 W COLONIAL DR STE 340",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873977",
            "telephone_number": "352-697-1707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2804 W Marc Knighton Ct Ste A",
            "address_purpose": "LOCATION",
            "city": "Lecanto",
            "state": "FL",
            "postal_code": "344616301",
            "country_code": "US",
            "telephone_number": "352-746-8067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRILLO",
        "first_name": "JENNIFER",
        "middle_name": "ROSE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-28",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW19747",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://linkedin.com/in/jennifer-grillo-773a09138",
            "affiliation": "N",
            "endpointDescription": "Linked",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Linked",
            "address_1": "1388 S Border Ave",
            "city": "Inverness",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344523717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

Verify at the official NPI Registry.