Individual provider Active NPI

Jenna Gwinn, RCSWI

  • Clinical Social Worker
  • Pembroke Pines, FL
National Provider Identifier
1649155458
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW22312 Issued in FL
Practice address
9050 Pines Blvd
305
Pembroke Pines, FL 33024-6422
Phone
(754) 704-6867
NPI assigned
Aug 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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 ISW22312 FL Primary

Addresses

Primary practice location

9050 Pines Blvd
305
Pembroke Pines, FL 33024-6422

Mailing address

9050 Pines Blvd Ste 305
Pembroke Pines, FL 33024-6422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ISW22312FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
VM Counseling Services Inc. CurrentSince Aug 17, 2025 Accepting new patients
Synergy Wellness of Florida Inc. CurrentSince Aug 17, 2025 Accepting new patients

Locations

9050 Pines Blvd
Ste 305
Pembroke Pines, FL 33024
Phone (754) 283-9665

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1649155458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD STE 305",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD",
            "address_2": "305",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246422",
            "telephone_number": "754-704-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWINN",
        "first_name": "JENNA",
        "credential": "RCSWI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW22312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.