Individual provider Active NPI

Mernelle Saint Jean, MSW

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1861067712
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW14216 Issued in FL
Practice address
111 NW 183Rd St Ste 404
Miami, FL 33169-4619
Phone
(786) 524-4001
NPI assigned
May 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X ISW14216 FL Primary

Addresses

Primary practice location

111 NW 183Rd St Ste 404
Miami, FL 33169-4619

Mailing address

11135 NW 26TH St
Sunrise, FL 33322-2524
Phone (813) 317-9514

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mernelle@inspire4purpose.com Direct

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
ISW14216FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire4Purpose, LLC Clinical CurrentSince Jun 22, 2021 Accepting new patients
Emergent Counseling and Consulting LLC Clinical Past Accepting new patients

Locations

111 NW 183rd St
Ste 404
Miami Gardens, FL 33169
Phone (757) 524-4001

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": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1861067712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11135 NW 26TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333222524",
            "telephone_number": "813-317-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NW 183RD ST STE 404",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331694619",
            "telephone_number": "786-524-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINT JEAN",
        "first_name": "MERNELLE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW14216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mernelle@inspire4purpose.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "111 NW 183rd St Ste 404",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331694619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.