JAN ICE MSW LCSW P A – Clinical Social Worker, NPI 1033364039

JAN ICE MSW LCSW P A is a healthcare provider. based in Estero, Florida. specializing in Clinical Social Worker. The organization holds a License No. SW5007 (FL). The NPI Number for JAN ICE MSW LCSW P A is 1033364039

Main info

Organization
Name
JAN ICE MSW LCSW P A
NPI
1033364039
Phone
(239) 591-6626
Address
4521 BROADWAY AVE W
Authorized Official
MS. JAN ICE PSYCHOTHERAPIST MSW LCSW
Enumeration Date
19 November 2008
Last Update Date
14 March 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for JAN ICE MSW LCSW P A

  • 4521, Broadway Avenue West, Mariners Cove, Cranbrook Harbor, Lee County, Florida, 33928, United States

    ESTERO, FL 339282624

    Phone: (239) 591-6626

    Fax: (239) 591-6627

    Type: Mailing

  • Panther Lane, North Naples, Collier County, Florida, 34108-2740, United States

    SUITE 215

    NAPLES, FL 341097874

    Phone: (239) 591-6626

    Fax: (239) 591-6627

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33928)

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Reviews

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Frequently asked questions

Can I verify JAN ICE MSW LCSW P A with an NPI only?
You can start verification with NPI 1033364039 for JAN ICE MSW LCSW P A, then check state licensing separately.
Can I rely on JAN ICE MSW LCSW P A being an active provider?
As of the registry snapshot, JAN ICE MSW LCSW P A is marked active.
What is JAN ICE MSW LCSW P A's specialty?
The listing groups JAN ICE MSW LCSW P A with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for JAN ICE MSW LCSW P A?
JAN ICE MSW LCSW P A's geographic hint is Estero, Florida in our summary view.
Why does JAN ICE MSW LCSW P A have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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