Individual provider Active NPI

Jenna Nielsen, MSW, LCSW

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1447600846
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW13379 Issued in FL
Practice address
5806 Oxford Dr
Tampa, FL 33615-3732
Phone
(813) 906-5155
NPI assigned
Jun 16, 2016
Last updated
Aug 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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 SW13379 FL Primary

Addresses

Primary practice location

5806 Oxford Dr
Tampa, FL 33615-3732

Mailing address

5806 Oxford Dr
Tampa, FL 33615-3732
Phone (813) 906-5155

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
I20251105004738 FL Practitioner - Clinical Social Worker 1456841709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Porter Medical Group PCGroup PAC ID 3274066865, 10 clinicians

Practice addresses (Care Compare)

317 Stonehurst Pkwy
Saint Augustine, FL 32092-5017
Phone (833) 820-4309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW13379FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Porter Medical Group P.C. CurrentSince Aug 26, 2025 Accepting new patients

Locations

1550 Wewatta St
Ste 3141
Denver, CO 80202
Phone (833) 777-7208

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, 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": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1447600846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5806 OXFORD DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153732",
            "telephone_number": "813-906-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5806 OXFORD DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153732",
            "telephone_number": "813-906-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "JENNA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.