Individual provider · Type 1 NPI

Mary Jane Jedi Kmak, LCSW

Clinical Social Worker · Port Charlotte, FL

NPI number 1821997537 Active

Practice location

1777 Tamiami Trl Ste 500
Port Charlotte, FL 33948-1083

Call (941) 780-4268 Map

Mailing address

2309 Fintonrod St
Port Charlotte, FL 33948-3410

Other practice locations

  • 14868 Tamiami Trl Unit A-203, North Port, FL 34287-2701 · (941) 780-4268

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW27059 (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 1821997537

Mary Jane Jedi Kmak, LCSW's National Provider Identifier is 1821997537, issued on Nov 2, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Charlotte, FL. The record was last updated on Nov 2, 2026.