IndividualActive
Agustin Gracia, LCSW
NPI 1295469054 · Clinical Social Worker · Melbourne, FL
Provider details
- NPI number
- 1295469054
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- SW20112 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
50 W Strawbridge Ave
Melbourne, FL 32901-4438
Phone: (321) 952-5482
Approximate (ZIP-level) locationGet directions
Mailing address
1100 Pine Creek Cir Ne
Palm Bay, FL 32905-4719
Registry dates
- Enumerated
- 2022-07-15
- Last updated
- 2022-07-15
- Certified
- 2022-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.