Provider Demographics
NPI:1740556018
Name:LAUNDREE, JACINDA LYNN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:JACINDA
Middle Name:LYNN
Last Name:LAUNDREE
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 1:25 N COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL RIVER
Mailing Address - State:FL
Mailing Address - Zip Code:34429-5363
Mailing Address - Country:US
Mailing Address - Phone:352-477-1187
Mailing Address - Fax:
Practice Address - Street 1:1801 NW US HIGHWAY 19
Practice Address - Street 2:STE 307
Practice Address - City:CRYSTAL RIVER
Practice Address - State:FL
Practice Address - Zip Code:34428-6120
Practice Address - Country:US
Practice Address - Phone:352-477-1187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY075636101YM0800X
FLSW134921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health