Individual provider Active NPI

Jill Tourville Pinder, MSW, LCSW, CAP

  • Clinical Social Worker
  • Cooper City, FL
National Provider Identifier
1790097236
Registry record updated Jul 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW4567 Issued in FL
Practice address
12401 Stirling Rd
Suite 211
Cooper City, FL 33330-3211
Phone
(954) 520-0725
Fax
(954) 680-2030
NPI assigned
Jul 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2011

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 SW4567 FL Primary

Addresses

Primary practice location

12401 Stirling Rd
Suite 211
Cooper City, FL 33330-3211

Mailing address

12401 Stirling Rd
Suite 211
Cooper City, FL 33330-3211
Phone (954) 520-0725

Other names 1

  • Jill Noelle Tourville Former name

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
SW4567FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312070400000",
    "number": "1790097236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 STIRLING RD",
            "address_2": "SUITE 211",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333303211",
            "telephone_number": "954-520-0725",
            "fax_number": "954-680-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 STIRLING RD",
            "address_2": "SUITE 211",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333303211",
            "telephone_number": "954-520-0725",
            "fax_number": "954-680-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINDER",
        "first_name": "JILL",
        "middle_name": "TOURVILLE",
        "credential": "MSW, LCSW, CAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2011-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW4567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "TOURVILLE",
            "middle_name": "NOELLE",
            "credential": "MSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cooper City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2011; 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.