JASELYN SOTOLONGO LMFT NPI 1750806436

NPI Information

NPI: 1750806436
Provider Name: JASELYN SOTOLONGO, LMFT
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
4720 N STATE ROAD 7
LAUDERDALE LAKES, FL
ZIP 33319
Phone: (954) 634-8096
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Jaselyn Sotolongo, LMFT is a mental health counselor in Lauderdale Lakes, FL. Jaselyn Sotolongo, LMFT NPI is 1750806436. 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:

4720 N STATE ROAD 7
LAUDERDALE LAKES, FL
ZIP 33319-860
Phone: (954) 634-8096

The enumeration date for this NPI number is 8/3/2017 and was last updated on 11/9/2023.

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	104100000X	Social Worker		MT3384	FLORIDA	No
2	1041C0700X	Social Worker	Clinical	MT3384	FLORIDA	No
3	106H00000X	Marriage & Family Therapist		MT3384	FLORIDA	No
4	171M00000X	Case Manager/Care Coordinator		MT3384	FLORIDA	No
5	101YM0800X	Counselor	Mental Health	MT3384	FLORIDA	Yes

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	116243400	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: 4/28/2024

NPI Synchronization or Removal

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