Active NPI
Jared William Chantrill, LCSW
- Clinical Social Worker
- Saint Cloud, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-4280
- Practice address
- 1320 Louisiana Ave Ste a
Saint Cloud, FL 34769-4116 - Phone
- (407) 593-0122
- Fax
- (407) 593-0081
- NPI assigned
- Nov 13, 2018
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-4280 | HI | Primary |
Addresses
Primary practice location
1320 Louisiana Ave Ste a
Saint Cloud, FL 34769-4116
Mailing address
5655 S Orange Ave
Edgewood, FL 32809-4289
Phone (866) 280-9355
Other practice location 1
5655 S Orange Ave
Edgewood, FL 32809-4289
Phone (866) 280-9355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1181312-00 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1320 Louisiana Ave
Suite a
Saint Cloud, FL 34769-4116
Phone (407) 593-0122
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-4280 | HI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Catalyst Counseling Associates LLC | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
1320 Louisiana Ave
Ste A
Saint Cloud, FL 34769
Phone (407) 593-0122
500 Ala Moana Blvd
Ste 7400
Honolulu, HI 96813
Phone (617) 823-6490
Networks
- Freedom Health HMO Network
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.
-
dba Catalyst Counseling Associates
- Community/Behavioral Health Agency
- Saint Cloud, FL
- NPI 1962049387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1730658345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5655 S ORANGE AVE",
"city": "EDGEWOOD",
"state": "FL",
"postal_code": "328094289",
"telephone_number": "866-280-9355",
"fax_number": "833-565-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 LOUISIANA AVE STE A",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347694116",
"telephone_number": "407-593-0122",
"fax_number": "407-593-0081"
}
],
"practiceLocations": [
{
"address_1": "5655 S Orange Ave",
"address_purpose": "LOCATION",
"city": "Edgewood",
"state": "FL",
"postal_code": "328094289",
"country_code": "US",
"telephone_number": "866-280-9355",
"fax_number": "833-565-0429",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANTRILL",
"first_name": "JARED",
"middle_name": "WILLIAM",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-13",
"last_updated": "2025-09-11",
"certification_date": "2023-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "LCSW-4280",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1181312-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.