MEDICARE: JENNIFER LOMBARDO 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	CSW.09925872	CO
2	1041C0700X	Clinical Social Worker	14312	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	:	1942627732
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER LOMBARDO LCSW

Provider Business Mailing Address
First Line	:	4530 S ORANGE BLOSSOM TRL # 570
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839-1704
Country	:	US
Telephone Number	:	407-437-5076
Fax Number	:

Provider Business Practice Location Address
First Line	:	4530 S ORANGE BLOSSOM TRL # 570
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839
Country	:	US
Telephone Number	:	407-437-5076
Fax Number	:

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

Provider Enumeration Date	:	03/18/2014
Last Update Date	:	08/12/2019

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