NPIMap

Organization Active NPI

George a Jacinto, PHD, LCSW, PLLC

  • Clinical Social Worker
  • Belleair Beach, FL
National Provider Identifier
1801451083
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GEORGE A JACINTO, PHD, LCSW, PLLC
Practice address
2605 Gulf Blvd
Belleair Beach, FL 33786-3500
Phone
(407) 453-2594
NPI assigned
May 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. George A Jacinto, PHD, LCSW
Title
LCSW
Phone
(407) 453-2594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2605 Gulf Blvd
Belleair Beach, FL 33786-3500

Mailing address

2605 Gulf Blvd
Belleair Beach, FL 33786-3500
Phone (407) 453-2594

Other identifiers 1

IdentifierTypeStateIssuer
SW3241OtherFLDOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address diana-pmb@tampabay.rr.com Other

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556841600000",
    "number": "1801451083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 GULF BLVD",
            "city": "BELLEAIR BEACH",
            "state": "FL",
            "postal_code": "337863500",
            "telephone_number": "407-453-2594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 GULF BLVD",
            "city": "BELLEAIR BEACH",
            "state": "FL",
            "postal_code": "337863500",
            "telephone_number": "407-453-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE A JACINTO, PHD, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-05-03",
        "status": "A",
        "authorized_official_last_name": "JACINTO",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "407-453-2594",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH",
            "identifier": "SW3241",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "diana-pmb@tampabay.rr.com",
            "affiliation": "N",
            "endpointDescription": "Credentialing",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Clearwater",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Clearwater",
            "address_1": "2605 Gulf Blvd",
            "city": "Belleair Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337863500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belleair Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.