Provider Demographics
NPI:1528323706
Name:WINSTON-SMITH, JENNIFER L (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:L
Last Name:WINSTON-SMITH
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5005 W LAUREL ST STE 213
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-3836
Mailing Address - Country:US
Mailing Address - Phone:813-909-5552
Mailing Address - Fax:813-489-4619
Practice Address - Street 1:5005 W LAUREL ST STE 213
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-3836
Practice Address - Country:US
Practice Address - Phone:813-909-5552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-12
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW6222104100000X
FLSW 112991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker