Provider Demographics
NPI:1356650865
Name:HARKOW, JAYE FREDRICA (LCSW)
Entity Type:Individual
Prefix:
First Name:JAYE
Middle Name:FREDRICA
Last Name:HARKOW
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 1:2 BAPTIST LN
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-7313
Mailing Address - Country:US
Mailing Address - Phone:305-292-1956
Mailing Address - Fax:
Practice Address - Street 1:2 BAPTIST LN
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-7313
Practice Address - Country:US
Practice Address - Phone:305-292-1956
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL00015291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical