IndividualActive
Alyssa Thaxton, LCSW
NPI 1043544356 · Clinical Social Worker · St Augustine, FL
Provider details
- NPI number
- 1043544356
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- CWS004742 (GA)
Practice location
1100 Plantation Island Dr S Ste 110-120
St Augustine, FL 32080-5173
Phone: (904) 824-7733
Mailing address
1100 Plantation Island Dr S Ste 110-120
St Augustine, FL 32080-5173
Registry dates
- Enumerated
- 2009-09-21
- Last updated
- 2025-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.