Provider Demographics
NPI:1255651766
Name:ARTHUR, JANE YOUNG (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:YOUNG
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:WELLNESS
Other - Middle Name:
Other - Last Name:WORKX
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LLC
Mailing Address - Street 1:PO BOX 2028
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34639-2028
Mailing Address - Country:US
Mailing Address - Phone:813-504-1462
Mailing Address - Fax:813-996-9705
Practice Address - Street 1:3632 LAND O LAKES BLVD
Practice Address - Street 2:SUITE 106-5
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34639-4405
Practice Address - Country:US
Practice Address - Phone:813-504-1462
Practice Address - Fax:813-996-9705
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-07
Last Update Date:2011-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW23121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10745043OtherCOUNCIL FOR AFFORDABLE QUALITY HEALTH CARE