Individual provider Active NPI

Brittany McIntyre, LCSW

  • Clinical Social Worker
  • Jacksonville, FL
National Provider Identifier
1861067290
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
40 E Adams St Ste 120
Jacksonville, FL 32202-3354
Phone
(904) 396-4846
NPI assigned
May 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X SW22740 FL
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

40 E Adams St Ste 120
Jacksonville, FL 32202-3354

Mailing address

40 E Adams St Ste 120
Jacksonville, FL 32202-3354
Phone (904) 428-3908

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
I20240528003066 FL Practitioner - Clinical Social Worker 3375985948 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gateway Community Services IncGroup PAC ID 7618056649, 5 clinicians

Practice addresses (Care Compare)

555 Stockton St
Jacksonville, FL 32204-2534
Phone (904) 387-4661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Apr 17, 2024 Accepting new patients
Gateway Community Services, Inc. CurrentSince Feb 19, 2025 Accepting new patients
Shine Medical Providers PC Past Accepting new patients
Child Guidance Center, Inc. PastSince Jun 22, 2021 Accepting new patients

Locations

555 Stockton St
Jacksonville, FL 32204
Phone (904) 387-4661

2133 Broadway Ave
Jacksonville, FL 32209
Phone (904) 361-5010

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1861067290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 E ADAMS ST STE 120",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322023354",
            "telephone_number": "904-428-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E ADAMS ST STE 120",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322023354",
            "telephone_number": "904-396-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "BRITTANY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22740",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.