Janean Furdock, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW7776 Issued in FL

Legal business name

JANEAN FURDOCK, LCSW

Practice address

35114 Stagecoach TRL
Eustis, FL 32736-8004

Phone

(321) 377-2243

Fax

(352) 589-6738

NPI assigned

Dec 6, 2016

Organization subpart

No

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

Authorized official

Name

Janean Furdock, LCSWNPI 1548315138

Title

Owner

Phone

(321) 377-2243

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janean Furdock, LCSW

  • Clinical Social Worker
  • Eustis, FL
  • NPI 1548315138
  NPD (past) Authorized official

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1649714916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35114 STAGECOACH TRL",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327368004",
            "telephone_number": "321-377-2243",
            "fax_number": "352-589-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35114 STAGECOACH TRL",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327368004",
            "telephone_number": "321-377-2243",
            "fax_number": "352-589-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANEAN FURDOCK, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "FURDOCK",
        "authorized_official_first_name": "JANEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-377-2243",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015483300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohammad Aminul Islam, RPH
• Dane Jack
• Matthew Joseph Jackson, D.D.S.
• Nabat Jacobs
• James W. Young III MD PA
• Michael Janes
• Daniel Jelks
• Destinee Jenkins
• Lee R Jenkins, PHARM. D.
• Jennifer Merritt Dba Alternative Choice

• Clinical Social Worker in Eustis, FL
• Providers in Eustis, 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 Dec 6, 2016; 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.