PHYLLIS ANN JEANNESTAL LCSW
NPI 1801259106
Social Worker - Clinical in Tamarac, FL

Active since April 04, 2016
9302 NW 66TH CT, TAMARAC, FL 33321(954) 393-4385 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Phyllis Ann Jeannestal Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYLLIS ANN JEANNESTAL LCSW (NPI 1801259106) is an individual clinical provider in Tamarac, Florida and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1801259106
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePHYLLIS ANN JEANNESTALCredential: LCSW
Location Address9302 NW 66TH CTTamarac, FL 33321-3506
Mailing Address9302 Nw 66th CtTamarac, FL 33321-3506 · (954) 393-4385
Sole ProprietorNo
Enumeration DateApril 4, 2016
Last NPPES UpdateApril 12, 2022
NPPES CertifiedApril 12, 2022
NPI 1801259106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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.
9302 NW 66TH CT, Tamarac, FL 33321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phyllis Jeannestal's NPI number?

The NPI number for Phyllis Jeannestal is 1801259106. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Where is Phyllis Jeannestal located?

Phyllis Jeannestal practices at 9302 NW 66th Ct, Tamarac, FL 33321. The listed phone number is (954) 393-4385.

What is Phyllis Jeannestal's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Phyllis Jeannestal was last updated on April 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.