Stephanie Jean, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW12888 Issued in FL

Practice address

11806 Meadow Branch Dr Apt 717
Orlando, FL 32825-5062

Phone

(954) 701-9473

NPI assigned

Jun 22, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1326664897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11806 MEADOW BRANCH DR APT 717",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328255062",
            "telephone_number": "954-701-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11806 MEADOW BRANCH DR APT 717",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328255062",
            "telephone_number": "954-701-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN",
        "first_name": "STEPHANIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "endpointDescription": "personal/private laptop",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11806 Meadow Branch Dr Apt 717",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328255062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Faren Jean
• Hansie Camille Jean, DNP, APRN, AGNP-BC
• Hermina Jean
• Linda Jean
• Marie-Anne Sylvie Jean, APRN, DNP
• Wisner Jean, D.C.
• Roselin Jeanbaptiste
• Jeanine Hayen OD LLC (College Park Eye Care)
• Dieulene Jeanlouis
• Tamara Jefferson, OTR/L

• Clinical Social Worker in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.