Provider Demographics
NPI:1083854988
Name:STARKEY, JENNIFER ILENE (LCSW)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ILENE
Last Name:STARKEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:ILENE
Other - Last Name:HERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14549 CHEEVER ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-7310
Mailing Address - Country:US
Mailing Address - Phone:321-228-7414
Mailing Address - Fax:
Practice Address - Street 1:14549 CHEEVER ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-7310
Practice Address - Country:US
Practice Address - Phone:321-228-7414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-05
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW81611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical