Provider Demographics
NPI:1598544140
Name:STRINGER, JEANI MARIE (LCSW)
Entity Type:Individual
Prefix:
First Name:JEANI
Middle Name:MARIE
Last Name:STRINGER
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 1:7920 HICKORY HAMMOCK RD
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:FL
Mailing Address - Zip Code:32583-2404
Mailing Address - Country:US
Mailing Address - Phone:850-586-4250
Mailing Address - Fax:
Practice Address - Street 1:7920 HICKORY HAMMOCK RD
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:FL
Practice Address - Zip Code:32583-2404
Practice Address - Country:US
Practice Address - Phone:850-586-4250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL218561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty