JENNIFER DONOVAN STREET LCSW(SW10211)
NPI 1083938799
Social Worker - Clinical in Tampa, FL

Q: What is Jennifer Street's NPI number?

The NPI number for Jennifer Street is 1083938799. It was assigned to this individual provider in the NPPES registry on March 24, 2010.

Q: What is Jennifer Street's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: Is Jennifer Street enrolled in Medicare?

No. Jennifer Street has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Street was last updated on July 13, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 24, 2010Opted out of Medicare · through Apr 1, 2028

5707 N 22ND ST, TAMPA, FL 33610(813) 272-2878(813) 272-3766 Get Directions Write a Review

NPPES record last updated: July 13, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jennifer Donovan Street Lcsw(sw10211) NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER DONOVAN STREET LCSW(SW10211) (NPI 1083938799) is an individual clinical provider in Tampa, Florida, licensed in Florida (SW10211) and active in the NPI registry since March 2010. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1083938799

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJENNIFER DONOVAN STREETCredential: LCSW(SW10211)

Location Address5707 N 22ND STTampa, FL 33610-4350

Mailing Address5707 N 22nd StTampa, FL 33610-4350 · (813) 272-2878 · Fax (813) 272-3766

Phone(813) 272-2878

Fax(813) 272-3766

Sole ProprietorYes

Enumeration DateMarch 24, 2010

Last NPPES UpdateJuly 13, 2011

✔ NPI 1083938799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in FL · SW10211

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

5707 N 22ND ST, Tampa, FL 33610

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Jennifer Donovan Street Lcsw(sw10211) has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DARLENE H ALLEN

Social Worker (Clinical)