Provider Demographics
NPI:1992849194
Name:GARRIDO, JENIFER ANNE (LCSW)
Entity Type:Individual
Prefix:
First Name:JENIFER
Middle Name:ANNE
Last Name:GARRIDO
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 1:719 PEACHTREE RD
Mailing Address - Street 2:STE. 200
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-6821
Mailing Address - Country:US
Mailing Address - Phone:407-925-6759
Mailing Address - Fax:
Practice Address - Street 1:719 PEACHTREE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-6821
Practice Address - Country:US
Practice Address - Phone:407-925-6759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW51791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical