NPI 1053692574 · live from the CMS NPI Registry
Jennifer Judith Addae, BS
Social Worker, Clinical in Tampa, FL. National Provider Identifier 1053692574, active.
NPI record
| NPI | 1053692574 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 5707 N 22nd St, Tampa, FL 33610 |
| Practice phone | 813-239-8069 |
| Enumerated | August 30, 2011 |
| Last updated | August 30, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.