Provider Demographics
NPI:1366511099
Name:ARNEY, JEFFREY (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:
Last Name:ARNEY
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:JEFFREY
Other - Middle Name:A
Other - Last Name:ARNEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:137 HOSPITAL DR NE
Mailing Address - Street 2:
Mailing Address - City:FORT WALTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32548-5063
Mailing Address - Country:US
Mailing Address - Phone:850-833-7500
Mailing Address - Fax:
Practice Address - Street 1:299 W RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:CRESTVIEW
Practice Address - State:FL
Practice Address - Zip Code:32536-4053
Practice Address - Country:US
Practice Address - Phone:850-689-7810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 107801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL009795000Medicaid
FLHO604ZMedicare Oscar/Certification
FLHO604YMedicare Oscar/Certification
FL009795000Medicaid