Provider Demographics
NPI:1215304985
Name:JESSICA GAYLE MCFARLING
Entity type:Organization
Organization Name:JESSICA GAYLE MCFARLING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:GAYLE
Authorized Official - Last Name:MCFARLING
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:270-929-1762
Mailing Address - Street 1:720 SE 1ST ST
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47713-1104
Mailing Address - Country:US
Mailing Address - Phone:270-929-1762
Mailing Address - Fax:833-812-0155
Practice Address - Street 1:1727 SWEENEY ST STE 104
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-3834
Practice Address - Country:US
Practice Address - Phone:270-929-1762
Practice Address - Fax:833-812-0155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-28
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty