Provider Demographics
NPI:1427935725
Name:JOSTOCK, JESSICA ANN (LCSW)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:ANN
Last Name:JOSTOCK
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 1:344 E CONFERENCE DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-3147
Mailing Address - Country:US
Mailing Address - Phone:561-875-0065
Mailing Address - Fax:
Practice Address - Street 1:709 S FEDERAL HWY # 3
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-5610
Practice Address - Country:US
Practice Address - Phone:561-735-6553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL226741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical