Organization · Type 2 NPI

Mara's Lighthouse Counseling Center, LLC

Clinical Social Worker · Jacksonville, FL

NPI number 1407478613 Active

Practice location

12086 Fort Caroline Rd Ste 201
Jacksonville, FL 32225-2689

Call (904) 990-8105 Map

Fax (904) 562-3359

Other practice locations

  • 108 Kingsley Ave Ste 212214, Orange Park, FL 32073-5685 · (904) 990-8105

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 1407478613

Mara's Lighthouse Counseling Center, LLC's National Provider Identifier is 1407478613, issued on May 11, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 18, 2025.