Individual provider · Type 1 NPI

Phyllis Ann Jeannestal, LCSW

Clinical Social Worker · Tamarac, FL

NPI number 1801259106 Active

Practice location

9302 NW 66th Ct
Tamarac, FL 33321-3506

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1801259106

Phyllis Ann Jeannestal, LCSW's National Provider Identifier is 1801259106, issued on Apr 4, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tamarac, FL. The record was last updated on Apr 12, 2022.