Organization · Type 2 NPI

Coastal Counseling of North Florida, LLC

Clinical Social Worker · Ponte Vedra, FL

NPI number 1902741713 Active

Practice location

4400 Marsh Landing Blvd Ste 104&203
Ponte Vedra, FL 32082-7215

Fax (904) 604-8700

Mailing address

3948 3rd St S # 351
Jacksonville Beach, FL 32250-5847

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 1902741713

Coastal Counseling of North Florida, LLC's National Provider Identifier is 1902741713, issued on Apr 20, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ponte Vedra, FL. The record was last updated on Apr 20, 2026.