Jennifer Stoll, RCSWI

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW15128 Issued in FL

Practice address

1505 Tamiami TRL S Ste 402
Venice, FL 34285-5563

Phone

(941) 275-9183

NPI assigned

Jun 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Grennell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1992371868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 TAMIAMI TRL S STE 402",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342855563",
            "telephone_number": "941-275-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 TAMIAMI TRL S STE 402",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342855563",
            "telephone_number": "941-275-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLL",
        "first_name": "JENNIFER",
        "credential": "RCSWI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW15128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GRENNELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anthony Gerald Steusloff
• Steven Jay Wasserman MD PL
• John Stevens
• Scott A Stevens, OD
• Justin W. Stiver, DPT
• Ashley N Stuart, PHARMD
• Elliott Stupp, O.D.
• Jay Stutz
• Jade Suggs
• Charles A Suleskey, DPM

• Clinical Social Worker in Venice, FL
• Providers in Venice, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.