Individual provider Active NPI

Jason S Quintal, PHD, LCSW

  • Clinical Social Worker
  • Bradenton, FL
National Provider Identifier
1952315533
Registry record updated Nov 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW6591 Issued in FL
Practice address
9050 58TH Dr E
Bradenton, FL 34202-6104
Phone
(941) 907-0525
Fax
(941) 462-2968
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2025

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 SW6591 FL Primary

Addresses

Primary practice location

9050 58TH Dr E
Bradenton, FL 34202-6104

Mailing address

9050 58TH Dr E
Bradenton, FL 34202-6104
Phone (941) 907-0525

Other identifiers 2

IdentifierTypeStateIssuer
270480117OtherFLMANATEE CHOICE
270480117OtherFLWEBTPA

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
I20101112000320 FL Practitioner - Clinical Social Worker 9638275761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doctor Q IncGroup PAC ID 4486849072, 9 clinicians

Practice addresses (Care Compare)

9050 58TH Dr E
Bradenton, FL 34202-6104
Phone (941) 907-0525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
SW6591FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor Q Inc Clinical CurrentSince Jul 4, 2010 Accepting new patients
Theresa a Benedict LLC Clinical Past Accepting new patients

Locations

5460 Lena Rd
Unit 103
Lakewood Ranch, FL 34211
Phone (941) 907-0525

9050 58th Dr E
Lakewood Ranch, FL 34202
Phone (941) 907-0525

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762041600000",
    "number": "1952315533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 58TH DR E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342026104",
            "telephone_number": "941-907-0525",
            "fax_number": "941-462-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 58TH DR E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342026104",
            "telephone_number": "941-907-0525",
            "fax_number": "941-462-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTAL",
        "first_name": "JASON",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2025-11-02",
        "certification_date": "2025-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANATEE CHOICE",
            "identifier": "270480117",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WEBTPA",
            "identifier": "270480117",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.