Individual provider Active NPI

Jody E Mountcastle, LCSW

  • Clinical Social Worker
  • Sarasota, FL
National Provider Identifier
1689791089
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW10348 Issued in FL
Practice address
2201 Cantu CT Ste 104
Sarasota, FL 34232-6254
Phone
(941) 867-0047
Fax
(941) 867-0047
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 105488 TX
Clinical Social Worker 1041C0700X LC16414 ME
Clinical Social Worker 1041C0700X SW10348 FL Primary

Addresses

Primary practice location

2201 Cantu CT Ste 104
Sarasota, FL 34232-6254

Mailing address

2201 Cantu CT Ste 104
Sarasota, FL 34232-6254
Phone (941) 867-0047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120510000501 FL Practitioner - Clinical Social Worker 3678735545
I20211029001237 TX Practitioner - Clinical Social Worker 3678735545 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Counties Center for Mental Health & Mental Retardation SRVS Clinical CurrentSince Sep 27, 2021 Accepting new patients
Central Counties Center for Mental Health & Mental Retardation SRVS CurrentSince Sep 27, 2021 Accepting new patients
Texas Health Virtual Care Current Accepting new patients
Root and Vessel, PLLC Clinical Current Accepting new patients
Texas Health Virtual Care CurrentSince Feb 1, 2024 Accepting new patients
Different Like Me Inc Clinical Past Accepting new patients

Locations

240 N Miller Rd
Mansfield, TX 76063
Phone (214) 432-8322

304 S 22nd St
Temple, TX 76501
Phone (254) 298-7000

Organizations & group practices 6

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1689791089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 CANTU CT STE 104",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326254",
            "telephone_number": "941-867-0047",
            "fax_number": "941-867-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 CANTU CT STE 104",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326254",
            "telephone_number": "941-867-0047",
            "fax_number": "941-867-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNTCASTLE",
        "first_name": "JODY",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "105488",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC16414",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.