Jill Louise Medintz, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW001304 Issued in MO

Practice address

130 S Bemiston Ave Ste 704a
Saint Louis, MO 63105-1913

Phone

(314) 721-1587

NPI assigned

Jul 22, 2020

Sex

Female

Sole proprietor

Yes

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": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1730797176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S BEMISTON AVE STE 704A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631051913",
            "telephone_number": "314-368-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S BEMISTON AVE STE 704A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631051913",
            "telephone_number": "314-721-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINTZ",
        "first_name": "JILL",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "SW001304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medicore Medical Service LLC
• Mediequip, Inc
• Fernando Rafael Medina Carbonell, M.D.
• John Esli Medina Morales
• Abigail Theresa Medina
• Michelle Leah Medintz, MD
• Medinurse, Inc.
• Meditelecare of Missouri LLC
• Paul Louis Medler, M.D.
• Robert G Medler, M.D.

• Clinical Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.