Provider Demographics
NPI:1386621191
Name:SIEVERS, JANE A (LCSW)
Entity type:Individual
Prefix:MS
First Name:JANE
Middle Name:A
Last Name:SIEVERS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9951 ATLANTIC BLVD STE 452
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32225-6582
Mailing Address - Country:US
Mailing Address - Phone:904-727-7778
Mailing Address - Fax:904-727-3921
Practice Address - Street 1:9951 ATLANTIC BLVD STE 452
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32225-6582
Practice Address - Country:US
Practice Address - Phone:904-727-7778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1041C0700X1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical