Mrs Jennifer Staple, MA is a
Social Worker based in Fort Myers, Florida. Mrs Jennifer Staple is licensed to practice in * (Not Available) (license number ) and her current practice location is
3763 Evans Ave, Fort Myers, Florida. She can be reached at her office (for appointments etc.) via phone at
(239) 332-6937.
NPI number for Mrs Jennifer Staple is 1770925802 and her current mailing address is 3763 Evans Ave, Fort Myers, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770925802.
Healthcare Provider's Profile
| Full Name | Mrs Jennifer Staple |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 3763 Evans Ave, Fort Myers, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1770925802
- Provider Enumeration Date: 07/17/2013
- Last Update Date: 03/22/2023
Medical Identifiers
Medical identifiers for Mrs Jennifer Staple such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770925802 | NPI | - | NPPES |
| 025039400 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (Florida) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jennifer Staple is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Jennifer Staple, MA
3763 Evans Ave,
Fort Myers, FL 33901-9302
Ph: () - | Mrs Jennifer Staple, MA
3763 Evans Ave,
Fort Myers, FL 33901
Ph: (239) 332-6937 |
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