Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Jenna Bonnell Canterbury, LCSW

Individual provider Mental Health Counselor · NPI 1336790633

Mrs. Jenna Bonnell Canterbury, LCSW is a Clinical Social Worker in Greenville, South Carolina. Qualified in 2014, 12 years ago. Practices with Brightside Medical PC, a 280-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
12
Licensed in
FL
In the registry since
2019
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

926 Cleveland St Apt 4208
Greenville, SC 29601-4651
Phone: (229) 560-6009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 14933 (FL)
Mental Health Counselor Taxonomy 101YM0800X · Licence 14933 (FL)

Record details

NPI number1336790633
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 27, 2019
Last updated in NPPESApril 16, 2023
Certification dateApril 16, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Brightside Medical Pc — 280 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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