MEDICARE: MS. JENNIFER LEE CALAME 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	SW8771	FL

General Provider Information

NPI Number	:	1295987972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER LEE CALAME LCSW

Provider Business Mailing Address
First Line	:	1718 E MICHIGAN ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-4935
Country	:	US
Telephone Number	:	407-836-8985
Fax Number	:	407-836-7659

Provider Business Practice Location Address
First Line	:	8125 LAUREL HILL DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-5227
Country	:	US
Telephone Number	:	407-296-5150
Fax Number	:	407-296-5152

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

Provider Enumeration Date	:	10/14/2008
Last Update Date	:	10/14/2008

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