MEDICARE: JAKI NEERING

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	101Y00000X	Counselor
2	1041C0700X	Clinical Social Worker	SW17623	FL

General Provider Information

NPI Number	:	1689110355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAKI NEERING

Provider Business Mailing Address
First Line	:	2672 ROCKCREST CT
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-8173
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2672 ROCKCREST CT
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-8173
Country	:	US
Telephone Number	:	561-818-5461
Fax Number	:

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

Provider Enumeration Date	:	01/18/2017
Last Update Date	:	08/26/2025

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