Provider Demographics
NPI:1962922872
Name:JINKINS, STUART MURRAY (MSW MCAP)
Entity type:Individual
Prefix:
First Name:STUART
Middle Name:MURRAY
Last Name:JINKINS
Suffix:
Gender:M
Credentials:MSW MCAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12096 ALT A1A APT F4
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-2354
Mailing Address - Country:US
Mailing Address - Phone:561-601-0282
Mailing Address - Fax:
Practice Address - Street 1:12096 ALT A1A
Practice Address - Street 2:F4
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410
Practice Address - Country:US
Practice Address - Phone:561-601-0282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMCAP100310101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty