| Mrs Jennifer F Laporte, LCSW | |
|
1955 U.s. 1 South, Suite 200, St. Augustine Community Based Outpatient Clinic/veteran, St. Augustine, FL 32086 | |
| (904) 829-0814 | |
| (904) 829-6174 |
| Full Name | Mrs Jennifer F Laporte |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1955 U.s. 1 South, Suite 200, St. Augustine, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598804239 | NPI | - | NPPES |
| 1000041085 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | Q1-0000783 (Delaware) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW9978 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jennifer F Laporte, LCSW 1955 U.s. 1 South, Suite 200, St. Augustine Community Based Outpatient Clinic/veteran, St. Augustine, FL 32086 Ph: (904) 829-0814 | Mrs Jennifer F Laporte, LCSW 1955 U.s. 1 South, Suite 200, St. Augustine Community Based Outpatient Clinic/veteran, St. Augustine, FL 32086 Ph: (904) 829-0814 |
Daria Wells, LCSW, RN Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1955 U.s. 1 South, Suite 200, St. Augustine, FL 32086 Phone: 904-829-0814 Fax: 904-829-6174 |