Individual provider · Type 1 NPI

Jake Swanson, LCSW

Clinical Social Worker · Melbourne, FL

NPI number 1609480383 Active

Practice location

3932 W Eau Gallie Blvd Ste 101
Melbourne, FL 32934-3283

Fax (709) 400-7957

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW20648 (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 1609480383

Jake Swanson, LCSW's National Provider Identifier is 1609480383, issued on Sep 1, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Melbourne, FL. The record was last updated on Apr 24, 2025.