Individual provider Active NPI

Jearene Ivette Binet, LCSW

  • Clinical Social Worker
  • Kissimmee, FL
National Provider Identifier
1790146371
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13524 Issued in FL
Practice address
717 E Oak St
Kissimmee, FL 34744-4580
Phone
(407) 846-0533
NPI assigned
Mar 10, 2016
Last updated
Mar 10, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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 13524 FL Primary

Addresses

Primary practice location

717 E Oak St
Kissimmee, FL 34744-4580

Mailing address

717 E Oak St
Kissimmee, FL 34744-4580
Phone (407) 846-0533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160517002024 FL Practitioner - Clinical Social Worker 2961791702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Connection Church CorporationGroup PAC ID 2163850405, 3 clinicians

Practice addresses (Care Compare)

4117 Neptune Rd
Foundation Couseling Center
Saint Cloud, FL 34749
Phone (407) 593-6225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13524FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Integrated Medicine LLC PastSince Apr 4, 2016 Accepting new patients

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": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1790146371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 E OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444580",
            "telephone_number": "407-846-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 E OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444580",
            "telephone_number": "407-846-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINET",
        "first_name": "JEARENE",
        "middle_name": "IVETTE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "13524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.