Individual provider · Type 1 NPI
Jae J. Pate, LCSW
Clinical Social Worker · Tyndall Afb, FL
Practice location
340 Magnolia Circle, 325 Mdos/sgohsf
Tyndall Afb, FL 32404
Fax (850) 283-7721
Mailing address
325 Mdos/sgohsf
Tyndall Afb, FL 32404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 0002390 (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 1356315600
Jae J. Pate, LCSW's National Provider Identifier is 1356315600, issued on Feb 14, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tyndall Afb, FL. The record was last updated on Jul 13, 2026.