Tanya M Jeckovich, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW10256 Issued in FL

Practice address

2449 21St St NW
Winter Haven, FL 33881-3809

Phone

(717) 861-0701

Fax

(270) 574-6443

NPI assigned

May 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Tanya M Schreiner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Health Coach, LLC

  • Clinical Social Worker
  • Winter Haven, FL
  • NPI 1861983702
  NPD (past) Authorized official

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1992913701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 21ST ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338813809",
            "telephone_number": "717-861-0701",
            "fax_number": "270-574-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 21ST ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338813809",
            "telephone_number": "717-861-0701",
            "fax_number": "270-574-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JECKOVICH",
        "first_name": "TANYA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074598-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "SCHREINER",
            "middle_name": "M",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Tanner Jay, DO
• Omar Nemours Jean-Baptiste
• Clyde Joseph Jean, RBT
• Breanna Jeanpierre
• Christopher Lance Jebailey, MD
• Britney Jefferson
• Kimberly Joann Jensen, APRN
• Aura Janet Jimenez, SLP
• Jlakhani and Company LLC
• JNS Senior Home Care Services LLC

• Clinical Social Worker in Winter Haven, FL
• Providers in Winter Haven, 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 May 9, 2018; 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.