MR. LANE EDWARD JENNINGS JR. (NPI# 1134739543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134739543 |
| Entity Type | Individual |
| Full Name | MR. LANE EDWARD JENNINGS JR. |
| Credential | LCSW, MCAP |
| Practice Address |
5765 Pendlebury Ct Port Orange FL 32127-7960 |
| Practice Telephone | 3868526281 |
| Mailing Telephone | 3868526281 |
| Enumeration Date | 2020-08-01 |
| Last Update Date | 2020-08-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
16345 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346247053 | Lane E Jennings | Family Medicine | 201 N Clyde Morris Blvd Ste 200, Daytona Beach, FL 32114-2765 | 2005-07-07 |
| Street Address |
5765 PENDLEBURY CT |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32127-7960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918179 | Karen Lugo Morales | Massage Therapist | 1394 Dunlawton Ave, Apartment 505, Port Orange, FL 32127 | 2020-09-30 |
| 1265952568 | Compass Nutrition LLC | Dietitian, Registered | 840 Angelina Court, Port Orange, FL 32127 | 2017-06-27 |
| 1942730544 | Ambili Gopinathan Nair | Nurse Anesthetist, Certified Registered | 6216 Morning Drive, Port Orange, FL 32127 | 2017-06-15 |
| 1649707993 | Jill Lynn Sheldon | Social Worker | 3959 South Nova Road, Suiteb15, Port Orange, FL 32127 | 2017-05-17 |
| 1003350620 | Irene A Zachry | Interpreter | 6239 Yellowstone Dr. Port Orange Fl, Port Orange, FL 32127 | 2016-12-16 |
| 1427460328 | Jonathan Ivan Rodriguez Arocho | Chiropractor | 940 Village Trail, Unit 4-105, Port Orange, FL 32127 | 2014-05-27 |
| 1982015913 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1208 Dunlawton Ave, Port Orange, FL 32127 | 2014-05-13 |
| 1699105288 | Counseling & Consultation, Corp. | Early Intervention Provider Agency | 3959 S. Nova Rd., Suite 14, Port Orange, FL 32127 | 2013-11-18 |
| 1427484773 | Usv Optical Inc. | Technician/Technologist | 1800 Dunlawton Ave., Port Orange, FL 32127 | 2013-09-18 |
| 1104194018 | Jinny E Ruhlman | Marriage & Family Therapist | 4725 Dixie Dr, Ponce Inlet, FL 32127 | 2011-12-06 |
| Find all providers in zip 32127 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053819953 | Lisa Packard | Social Worker | 906 Wingate Trl, Port Orange, FL 32128-7524 | 2018-01-25 |
| 1578091385 | Jill Sheldon Counseling LLC | Social Worker | 3959 S Nova Rd Ste B15, Port Orange, FL 32127-9278 | 2017-05-24 |
| 1477900884 | Willis Blower | Social Worker | 1160 Greenbriar Ave, Port Orange, FL 32127-6010 | 2016-05-16 |
| 1831511203 | Cassandre Ackerman | Social Worker | Davita Dialysis, 3997 South Nova Road, Port Orange, FL 32127-1230 | 2014-01-20 |
| 1124392063 | Michael William Reed | Social Worker | 6050 Winding Ridge Ln, Port Orange, FL 32128-7110 | 2012-02-23 |
| 1194095885 | Rosemarie Balsam | Social Worker | 710 Marshall Cir, Port Orange, FL 32127-5527 | 2012-01-11 |
| 1902048176 | Shannon Marie King | Social Worker | 1690 Dunlawton Ave Ste 125, Port Orange, FL 32127-8980 | 2009-04-02 |
| 1629127345 | Jim Branch | Social Worker | 4319 S Ridgewood Ave, Port Orange, FL 32127-4522 | 2007-01-10 |
| 1285791764 | Core Counseling Service Inc | Social Worker | 4319 So Ridgewood Ave, Port Orange, FL 32127 | 2007-01-03 |
| 1780663724 | Daniel Eli Michaud-novak | Social Worker | 3959 S Nova Rd Ste B-15, Port Orange, FL 32127 | 2006-01-10 |
| Find all providers in PORT ORANGE | ||||
| City | PORT ORANGE |
| Zip Code | 32127 |
Please comment or provide details below to improve the information on MR. LANE EDWARD JENNINGS JR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.