| Doctor Name: | MRS. JENNIFER F. LAPORTE |
| NPI Number: | 1598804239 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W. |
| License Number: | Q1-0000783 |
| Business Practice Address: | 1955 U.s. 1 South, Suite 200 St. Augustine Community Based Outpatient Clinic/veteran St. Augustine, FL - 32086 |
| Business Phone Number: | 9048290814 |
| Business Fax Number: | 9048296174 |
| Mailing Address: | 1955 U.s. 1 South, Suite 200, St. Augustine Community Based Outpatient Clinic/veteran ST. AUGUSTINE |
| State: | FL |
| Postal Code: | 32086 |
| Phone Number: | 9048290814 |
| Fax Number: | 9048296174 |
| NPI Enumeration Date: | 02/06/2007 |
| NPI Last Update Date: | 03/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | Q1-0000783 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | DE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |