Jasminet Pathak, LCSW
Social Worker, Clinical in Fort Myers, FL. Individual provider (NPI-1).
NPI number1669915757
StatusActive
Last updated in NPPESJan 21, 2020
Details
- NPI
- 1669915757
- Entity type
- Individual (NPI-1)
- Name
- Jasminet Pathak
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 22, 2016
- Certification date
- Jan 21, 2020
- Last updated
- Jan 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW 14056 | FL | Yes |
Practice location
12550 New Brittany BlvdFort Myers, FL 33907-3655
Phone 239-343-9180 · Fax 239-343-9188
Mailing address
Po Box 2147Fort Myers, FL 33902-2147
Phone 239-343-9180 · Fax 239-343-9188
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