Healthcare Provider Details

I. General information

NPI: 1013990514
Provider Name (Legal Business Name): JENNIFER MARIE BISHOP LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER BISHOP STEINMEIER LCSW

II. Dates (important events)

Enumeration Date: 11/29/2005
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 VETERANS WAY
EGLIN AFB FL
32542-1038
US

IV. Provider business mailing address

100 VETERANS WAY
EGLIN AFB FL
32542-1038
US

V. Phone/Fax

Practice location:
  • Phone: 850-609-2600
  • Fax:
Mailing address:
  • Phone: 850-609-2600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW 6580
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: