Provider Demographics
NPI:1215415286
Name:LEHMAN, JENNIFER ROGERS (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:ROGERS
Last Name:LEHMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1915 LARGO RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32207-3928
Mailing Address - Country:US
Mailing Address - Phone:904-710-1382
Mailing Address - Fax:
Practice Address - Street 1:11512 LAKE MEAD AVE UNIT 704
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-9682
Practice Address - Country:US
Practice Address - Phone:904-379-8094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-01
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14240104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker