MEDICARE: JEANNE E ASSINTHE LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SW13131	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043552532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEANNE E ASSINTHE LCSW

Provider Business Mailing Address
First Line	:	3131 NW 68TH CT
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-1232
Country	:	US
Telephone Number	:	305-310-3015
Fax Number	:	305-847-1432

Provider Business Practice Location Address
First Line	:	3131 NW 68TH CT
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-1232
Country	:	US
Telephone Number	:	305-310-3015
Fax Number	:	305-847-1432

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2013
Last Update Date	:	10/18/2021

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Directions to “ JEANNE E ASSINTHE LCSW” Practice Location

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