Individual provider · Type 1 NPI
Jade Jessurun, LCSW
Clinical Social Worker · St. Petersburg, FL
Practice location
8950 Dr Ml King Jr St N
St. Petersburg, FL 33702-3001
Mailing address
5515 92nd Pl N
Pinellas Park, FL 33782-5012
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | SW21021 (FL) |
| Behavior Technician | 106S00000X | None listed |
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 1093250508
Jade Jessurun, LCSW's National Provider Identifier is 1093250508, issued on Dec 20, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Petersburg, FL. The record was last updated on Mar 27, 2025.