Individual provider Active NPI

Jared William Chantrill, LCSW

  • Clinical Social Worker
  • Saint Cloud, FL
National Provider Identifier
1730658345
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-4280 Issued in HI
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 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 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

IdentifierTypeStateIssuer
1181312-00MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, HI2 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
I20210513001185 FL Practitioner - Clinical Social Worker 6901215482 Reassigns benefits to 1 organization
I20251113004671 HI Practitioner - Clinical Social Worker 6901215482 Reassigns benefits to 1 organization

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
Catalyst Counseling Associates LLCGroup PAC ID 8628437001, 3 clinicians

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

LicenseStateTypeSpecialty
LCSW-4280HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Oct 14, 2025 Accepting new patients
Catalyst Counseling Associates LLC CurrentSince Jun 14, 2023 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.

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

Verify at the official NPI Registry.