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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. LANE EDWARD JENNINGS JR., LCSW, MCAP

Active Sole Proprietor

MR. LANE EDWARD JENNINGS JR., LCSW, MCAP is a Clinical Social Worker healthcare provider located in PORT ORANGE, Florida. NPI 1134739543 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PORT ORANGE, FL

Registration Details

NPI Number
1134739543
Provider Type
Individual
Gender
Male
NPI Issued
Aug 1, 2020 (6.0153291974089 yrs)
Last Updated
Aug 1, 2020
License
16345 (FL)
Sole Proprietor
Yes

Practice Information

Address
5765 PENDLEBURY CT
PORT ORANGE, FL, 321277960
Browse FL providers · Browse ZIP 32127
Phone
3868526281
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in PORT ORANGE, FL

Name Credential NPI
SUE LEVY PSYD LCSW 1093747313
DR. JIM BRANCH PH.D. 1629127345
DR. EMILIO A YONTA PHD 1447421201
MRS. SHANNON MARIE KING LCSWC 1902048176
MS. MIRIAM R. KRASNO LCSW 1942532684
MRS. PATRICIA ANN ADAMS LCSW 1942523378
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.