Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Phyllis Ann Jeannestal, LCSW

Individual provider Clinical Social Worker · NPI 1801259106

Phyllis Ann Jeannestal, LCSW is a Clinical Social Worker in Tamarac, Florida. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

9302 NW 66th Ct
Tamarac, FL 33321-3506
Phone: (954) 393-4385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1801259106
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 4, 2016
Last updated in NPPESApril 12, 2022
Certification dateApril 12, 2022

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