JACQUELINE COLE LCSW NPI 1689327058

NPI Information

NPI: 1689327058
Provider Name: JACQUELINE COLE, LCSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
12550 NEW BRITTANY BLVD STE 100
FORT MYERS, FL
ZIP 33907
Phone: (239) 343-9180
Get Directions

Jacqueline Cole, LCSW is a mental health counselor in Fort Myers, FL. Jacqueline Cole, LCSW NPI is 1689327058. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12550 NEW BRITTANY BLVD STE 100
FORT MYERS, FL
ZIP 33907-655
Phone: (239) 343-9180

The NPI 1689327058 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/27/2022 and was last updated on 12/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	SW19265	FLORIDA	Yes
2	1041C0700X	Social Worker	Clinical	SW19265	FLORIDA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	116060500	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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