Brenda J Mintze-Coleman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW19609 Issued in FL

Practice address

1536 N Jefferson St RM 1B123
Jacksonville, FL 32209-6525

Phone

(904) 475-5923

Fax

(904) 301-2503

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713052800000",
    "number": "1487766556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 765",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320630765",
            "telephone_number": "904-475-5923",
            "fax_number": "904-301-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 N JEFFERSON ST RM 1B123",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096525",
            "telephone_number": "904-475-5923",
            "fax_number": "904-301-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTZE-COLEMAN",
        "first_name": "BRENDA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-04-14",
        "certification_date": "2024-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ed Rycharde Minoza
• Megan L Minser
• Janet Marie Mint, OD
• James J Minta, D.D.S.
• Allison H Minter, PHARM. D.
• Agatha Miodowski, MS
• George Miquel Jr., M.D.
• Jennifer Mir
• Isabel Mira-Avendano, MD
• Miracle Hearts & Hands PLLC

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.