Laporte, Jennifer F.

Laporte, Jennifer F. is an individual health care provider with primary practice located at 1955 U.S. 1 South, Suite 200 St. Augustine Community Based Outpatient Clinic/Veteran, St. Augustine FL 32086. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Laporte, Jennifer F. can be contacted via phone (904) 829-0814.

Contact Information

Primary practice address
1955 U.S. 1 South, Suite 200 St. Augustine Community Based Outpatient Clinic/Veteran St. Augustine FL 32086
Phone: (904) 829-0814
Fax: (904) 829-6174
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Q1-0000783 Delaware
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW9978 Florida

Profile Details

NPI number 1598804239
LBN Legal business name Laporte, Jennifer F.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Mar 27th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598804239 NPPES
Delaware MEDICAID 1000041085

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