Provider Demographics
NPI:1710125208
Name:LANGLOIS, JEAN DEIGNAN (MSW-LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JEAN
Middle Name:DEIGNAN
Last Name:LANGLOIS
Suffix:
Gender:F
Credentials:MSW-LCSW
Other - Prefix:MRS
Other - First Name:JEAN
Other - Middle Name:DEIGNAN
Other - Last Name:SZEZEPANIAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW IN FLORIDA
Mailing Address - Street 1:10562 PLANTATION BAY DR.
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647
Mailing Address - Country:US
Mailing Address - Phone:813-368-3038
Mailing Address - Fax:
Practice Address - Street 1:10562 PLANTATION BAY DR.
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647
Practice Address - Country:US
Practice Address - Phone:813-368-3038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-22
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW49031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical