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General NPI Number Information
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NPI Number | 1316488984
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Entity Type | Individual
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Provider Name | JESSICA GAFFNEY LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/16/2017
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 828 SW PALM CITY RD
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City | STUART
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State | FL
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Zip | 34994-2820
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Country | US
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Telephone | 772-233-0613
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Fax |
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Provider Business Mailing Address
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Address Line | 2308 SE DIAMOND CT
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City | STUART
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State | FL
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Zip | 34997-6540
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Country | US
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Telephone | 772-233-0613
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34011210A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 16557
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 128148
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | FL
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