Healthcare Provider Details

I. General information

NPI: 1023943768
Provider Name (Legal Business Name): JESSICA FRANKEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 LINCOLN RD STE 639
MIAMI BEACH FL
33139-2452
US

IV. Provider business mailing address

3240 NE 56TH CT
FORT LAUDERDALE FL
33308-2806
US

V. Phone/Fax

Practice location:
  • Phone: 954-740-4633
  • Fax:
Mailing address:
  • Phone: 954-740-4633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number25940D
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: