IndividualActive
Tanya Jeckovich, LCSW
NPI 1992913701 · Clinical Social Worker · Winter Haven, FL
Provider details
- NPI number
- 1992913701
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 074598-1 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2449 21st St Nw
Winter Haven, FL 33881-3809
Phone: (717) 861-0701
Fax: (270) 574-6443
Street-level locationGet directions
Mailing address
2449 21st St Nw
Winter Haven, FL 33881-3809
Registry dates
- Enumerated
- 2007-05-18
- Last updated
- 2018-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.