Provider Demographics
NPI:1962064980
Name:JARMULOWICZ, ANIA E (LCSW)
Entity type:Individual
Prefix:
First Name:ANIA
Middle Name:E
Last Name:JARMULOWICZ
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 1:3098 LONG BOAT LN
Mailing Address - Street 2:
Mailing Address - City:BOLIVIA
Mailing Address - State:NC
Mailing Address - Zip Code:28422-0059
Mailing Address - Country:US
Mailing Address - Phone:727-358-6426
Mailing Address - Fax:
Practice Address - Street 1:3098 LONG BOAT LN
Practice Address - Street 2:
Practice Address - City:BOLIVIA
Practice Address - State:NC
Practice Address - Zip Code:28422-0059
Practice Address - Country:US
Practice Address - Phone:727-358-6426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW179551041C0700X
NJ44SL059528001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLL21000534523OtherTHE DIVISION OF CORPORATIONS IS THE STATE OF FLORIDA
MELC24717OtherSTATE OF MAINE
FLSW17955OtherFLORIDA DEPARTMENT OF HEALTH, DIVISION OF MEDICAL QUALITY ASSURANCE
NJ44SC06059100OtherSOCIAL WORK EXAMINERS