Healthcare Provider Details

I. General information

NPI: 1962098111
Provider Name (Legal Business Name): JESSICA FALLON ALOVIS LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2020
Last Update Date: 05/17/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8174 COPENHAGEN WAY
BOCA RATON FL
33434-6309
US

IV. Provider business mailing address

8174 COPENHAGEN WAY
BOCA RATON FL
33434-6309
US

V. Phone/Fax

Practice location:
  • Phone: 561-901-0840
  • Fax:
Mailing address:
  • Phone: 561-901-0840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW24355
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: