Healthcare Provider Details

I. General information

NPI: 1962966218
Provider Name (Legal Business Name): JOLEEN ALEXIS ESPINAL MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2019
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 OASIS PALM CIR APT 2208
OCOEE FL
34761-3324
US

IV. Provider business mailing address

925 OASIS PALM CIR APT 2208
OCOEE FL
34761-3324
US

V. Phone/Fax

Practice location:
  • Phone: 407-431-1521
  • Fax:
Mailing address:
  • Phone: 407-431-1521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW24586
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: