Provider Demographics
NPI:1023862844
Name:AMARO, JAYLENE SARMIENTO (LCSW)
Entity type:Individual
Prefix:
First Name:JAYLENE
Middle Name:SARMIENTO
Last Name:AMARO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JAYLENE
Other - Middle Name:
Other - Last Name:SARMIENTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5321 WINGED FOOT DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-4749
Mailing Address - Country:US
Mailing Address - Phone:609-227-7287
Mailing Address - Fax:
Practice Address - Street 1:600 NEW YORK AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-7610
Practice Address - Country:US
Practice Address - Phone:214-519-9913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1034701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical