Individual provider Active NPI

Tatiana Jean-Winder, LCSW

  • Clinical Social Worker
  • West Palm Beach, FL
National Provider Identifier
1396092839
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW14517 Issued in FL
Practice address
5305 Greenwood Ave Ste 103
West Palm Beach, FL 33407-2448
Phone
(561) 577-6651
Fax
(561) 557-6711
NPI assigned
Aug 14, 2012
Last updated
Mar 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 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 SW14517 FL Primary

Addresses

Primary practice location

5305 Greenwood Ave Ste 103
West Palm Beach, FL 33407-2448

Mailing address

5305 Greenwood Ave Ste 103
West Palm Beach, FL 33407-2448
Phone (561) 557-6651

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
I20231009001288 FL Practitioner - Clinical Social Worker 5597110726 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Author Health Professionals, PCGroup PAC ID 7416368949, 93 clinicians

Practice addresses (Care Compare)

360 NW 27TH St
Office/Suite 08 109
Miami, FL 33127-1504
Phone (805) 807-3303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW14517FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Author Health Professionals, PC CurrentSince Mar 17, 2025 Accepting new patients
Shardae Tripp Counseling LLC CurrentSince Aug 1, 2023 Accepting new patients
Reveye Mental Health and Wellness LLC Past Accepting new patients

Locations

360 NW 27th St
#8109
Miami, FL 33127
Phone (805) 807-3303

540 NW University Blvd
Ste 204
Port St Lucie, FL 34986
Phone (772) 418-7797

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": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1396092839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5305 GREENWOOD AVE STE 103",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072448",
            "telephone_number": "561-557-6651",
            "fax_number": "561-557-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5305 GREENWOOD AVE STE 103",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072448",
            "telephone_number": "561-577-6651",
            "fax_number": "561-557-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN-WINDER",
        "first_name": "TATIANA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.