Provider Demographics
NPI:1003408766
Name:JESSICA GAYLE MCFARLING LCSW, LLC
Entity Type:Organization
Organization Name:JESSICA GAYLE MCFARLING LCSW, LLC
Other - Org Name:UMBRELLA THERAPEUTIC SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCFARLING
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:270-929-1762
Mailing Address - Street 1:720 SE 1ST ST
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47713-1104
Mailing Address - Country:US
Mailing Address - Phone:270-929-1762
Mailing Address - Fax:833-812-0155
Practice Address - Street 1:1727 SWEENEY ST STE 104
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-3834
Practice Address - Country:US
Practice Address - Phone:270-929-1762
Practice Address - Fax:833-812-0155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-04
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty