| Jessica Anne Deeb, Lcsw, Llc | |
|
9400 River Crossing Blvd Suite 101 New Port Richey FL 34655-6033 | |
| (727) 808-4818 | |
| Not Available |
| Full Name | Jessica Anne Deeb, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 9400 River Crossing Blvd, New Port Richey, Florida |
| Authorized Official Name and Position | Jessica Anne Deeb (OWNER) |
| Authorized Official Contact | 7278084818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Anne Deeb, Lcsw, Llc 9400 River Crossing Blvd Suite 101 New Port Richey FL 34655-6033 Ph: (727) 808-4818 | Jessica Anne Deeb, Lcsw, Llc 9400 River Crossing Blvd Suite 101 New Port Richey FL 34655-6033 Ph: (727) 808-4818 |
| NPI Number | 1104178607 |
|---|---|
| Provider Enumeration Date | 10/08/2012 |
| Last Update Date | 06/26/2014 |
| Medicare PECOS PAC ID | 6709037476 |
|---|---|
| Medicare Enrollment ID | O20121107000139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104178607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW 8591 (Florida) | Primary |
| Provider Name | Jessica Anne Deeb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114240777 PECOS PAC ID: 2062663735 Enrollment ID: I20121107000151 |
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