MEDICARE: JESSICA ALLEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	ISW14745	FL

General Provider Information

NPI Number	:	1679291447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA ALLEN

Provider Business Mailing Address
First Line	:	846 SW 14TH ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33315-1453
Country	:	US
Telephone Number	:	954-281-2298
Fax Number	:

Provider Business Practice Location Address
First Line	:	846 SW 14TH ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33315-1453
Country	:	US
Telephone Number	:	954-281-2298
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2022
Last Update Date	:	08/18/2022

Similar Medicare Providers

1114577392 — ESHA LESTRADE APRN
Practice Location Address:

1975 E SUNRISE BLVD STE 615
FORT LAUDERDALE, FL
33304-1453

Practice Phone: 954-628-6807
Practice Fax:

1932726189 — COAST 2 COAST MEDICAL SUPPLIES LLC
Practice Location Address:

1975 E SUNRISE BLVD STE 609
FORT LAUDERDALE, FL
33304-1453

Practice Phone: 561-486-9366
Practice Fax:

1821615071 — SOUTH SHORE MEDICAL SUPPLIES LLC
Practice Location Address:

1975 E SUNRISE BLVD STE 624
FORT LAUDERDALE, FL
33304-1453

Practice Phone: 561-486-9263
Practice Fax:

1003622127 — CHRISTIAN CARBONERA LCSW
Practice Location Address:

1453 NE 15TH AVE
FORT LAUDERDALE, FL
33304-1372

Practice Phone: 786-468-4355
Practice Fax:

1952292625 — ESSENTIAL AESTHETICS & HEALTH, LLC
Practice Location Address:

1975 E SUNRISE BLVD STE 615
FORT LAUDERDALE, FL
33304-1453

Practice Phone: 754-778-7375
Practice Fax:

1629225305 — MS. LANA M PELLETIER L.C.S.W.
Practice Location Address:

96 MARKET ST
FORT KENT, ME
04743-1453

Practice Phone: 207-834-3186
Practice Fax:

Directions to “ JESSICA ALLEN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.