Provider Demographics
NPI:1750189171
Name:LAPEK, JESSIE THERESA (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:JESSIE
Middle Name:THERESA
Last Name:LAPEK
Suffix:
Gender:
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4728 OLD BLUSH ST
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34211-1617
Mailing Address - Country:US
Mailing Address - Phone:941-725-4701
Mailing Address - Fax:
Practice Address - Street 1:4728 OLD BLUSH ST STE 500
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34211-1617
Practice Address - Country:US
Practice Address - Phone:941-465-9321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW243441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical