Provider Demographics
NPI:1225747058
Name:SHAFRAN, JENNIFER I (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:JENNIFER
Middle Name:I
Last Name:SHAFRAN
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 1:14873 CUMBERLAND DR APT 102K
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-1318
Mailing Address - Country:US
Mailing Address - Phone:347-794-2019
Mailing Address - Fax:
Practice Address - Street 1:14873 CUMBERLAND DR APT 102K
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-1318
Practice Address - Country:US
Practice Address - Phone:347-794-2019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW203891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical