Individual provider · Type 1 NPI

Tina F. Jaeckle, PhD

Clinical Social Worker · Middleburg, FL

NPI number 1033876974 Active

Practice location

4088 Coyote Ct
Middleburg, FL 32068-2225

Call (904) 237-2008 Map

Other practice locations

  • 204 Charlotte Hwy Ste E, Asheville, NC 28803-8681 · (828) 333-5708

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XC018742 (NC)
Clinical Social Worker Primary 1041C0700XSW6154 (FL)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1033876974

Tina F. Jaeckle, PhD's National Provider Identifier is 1033876974, issued on Nov 28, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Middleburg, FL. The record was last updated on Aug 1, 2025.