Provider Demographics
NPI:1851119002
Name:DE JESUS, CHLOE ERIKA (LCSW)
Entity type:Individual
Prefix:
First Name:CHLOE
Middle Name:ERIKA
Last Name:DE JESUS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CHLOE
Other - Middle Name:ERIKA
Other - Last Name:MERINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:102 ROYALTY CIR
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-7726
Mailing Address - Country:US
Mailing Address - Phone:407-756-4260
Mailing Address - Fax:
Practice Address - Street 1:102 ROYALTY CIR
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-7726
Practice Address - Country:US
Practice Address - Phone:407-756-4260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW227641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical