Individual provider Active NPI

Jennifer Pinkerton, LCSW, LCDC

  • Social Worker
  • South Padre Island, TX
National Provider Identifier
1407357395
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1700 Padre Blvd Ste B
South Padre Island, TX 78597-6730
Phone
(956) 592-0446
NPI assigned
Feb 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Social Worker 104100000X Primary

Addresses

Primary practice location

1700 Padre Blvd Ste B
South Padre Island, TX 78597-6730

Mailing address

102 Wild Olive
Laguna Vista, TX 78578-2924
Phone (956) 592-0446

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jpinkerton@pathwaystherapygroup.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20211116000749 TX Practitioner - Clinical Social Worker 1355730276 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1700 Padre Blvd
Suite B
South Padre Island, TX 78597-6730
Phone (956) 592-0446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Therapy, PLLC Addiction (Substance Use Disorder) CurrentSince Jan 8, 2022 Accepting new patients
Sondermind Provider Network LLC CurrentSince Nov 9, 2021 Accepting new patients

Locations

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

1700 Padre Blvd
Ste B
South Padre Island, TX 78597
Phone (956) 592-0446

Organizations & group practices 2

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": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1407357395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WILD OLIVE",
            "city": "LAGUNA VISTA",
            "state": "TX",
            "postal_code": "785782924",
            "telephone_number": "956-592-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 PADRE BLVD STE B",
            "city": "SOUTH PADRE ISLAND",
            "state": "TX",
            "postal_code": "785976730",
            "telephone_number": "956-592-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKERTON",
        "first_name": "JENNIFER",
        "credential": "LCSW, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jpinkerton@pathwaystherapygroup.com",
            "affiliation": "N",
            "endpointDescription": "Practice Email Primary Manager",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1700 Padre Blvd Ste B",
            "city": "South Padre Island",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785976730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Padre Island, TX

Sources for this page

Verify at the official NPI Registry.