JEANNIE JENUWINE – Clinical Social Worker, NPI 1851672646

JEANNIE JENUWINE is a healthcare provider. based in Daytona beach, Florida. specializing in CLINICAL SOCIAL WORKER. The NPI Number for JEANNIE JENUWINE is 1851672646

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
JEANNIE JENUWINE
NPI
1851672646
Phone
(386) 299-0026
Address
140 S BEACH ST STE 414
Enumeration Date
7 September 2011
Last Update Date
17 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3862990026
Graduation Year
2012 (14 years ago)
PAC ID
5395074900
Professional Enrollment ID
I20240215002500
Address ID
FL321144472DA140XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:14State licenses:0Digital endpointsOther names

3,374 CLINICAL SOCIAL WORKER in FL

Provider Addresses for JEANNIE JENUWINE

  • 140 S BEACH ST STE 414

    DAYTONA BEACH, FL 321144472

    Phone: (386) 299-0026

    Type: Location

  • 28000 DEQUINDRE RD

    WARREN, MI 480922468

    Phone: (586) 753-1028

    Fax: (586) 753-1088

    Type: Mailing

  • 4777 E OUTER DR

    DETROIT, MI 482343241

    Phone: (313) 369-5000

    Fax: (313) 369-5545

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190906002610IClinical Social WorkerMITBD
I20240215002500IClinical Social WorkerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32114)

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Reviews

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Frequently asked questions

What is the standard ID for JEANNIE JENUWINE in the U.S.?
In the U.S., JEANNIE JENUWINE is identified by NPI 1851672646.
Should I treat JEANNIE JENUWINE as an active provider?
Patients and plans typically see JEANNIE JENUWINE as active in the national extract.
Which specialty label fits JEANNIE JENUWINE?
NPPES ties JEANNIE JENUWINE to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to JEANNIE JENUWINE?
The directory associates JEANNIE JENUWINE with Daytona Beach, Florida. Check all listed addresses for suites or satellite offices.
Why is information missing for JEANNIE JENUWINE?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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