Individual provider · Type 1 NPI

Harrison Domeshek

Clinical Social Worker · Jacksonville, FL

NPI number 1114728052 Active

Practice location

4595 Lexington Ave
Jacksonville, FL 32210-2058

Call (904) 448-4700 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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 1114728052

Harrison Domeshek's National Provider Identifier is 1114728052, issued on Mar 24, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 24, 2025.