Provider Demographics
NPI:1649889825
Name:ENGLAND, JEFF GEORGE (LCSW)
Entity type:Individual
Prefix:
First Name:JEFF
Middle Name:GEORGE
Last Name:ENGLAND
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3309 FARMERS CREEK RD
Mailing Address - Street 2:
Mailing Address - City:METAMORA
Mailing Address - State:MI
Mailing Address - Zip Code:48455-9791
Mailing Address - Country:US
Mailing Address - Phone:248-640-3248
Mailing Address - Fax:
Practice Address - Street 1:3309 FARMERS CREEK RD
Practice Address - Street 2:
Practice Address - City:METAMORA
Practice Address - State:MI
Practice Address - Zip Code:48455-9791
Practice Address - Country:US
Practice Address - Phone:248-640-3248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010614081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical