IndividualActive
Audra Willsey, LCSW
NPI 1962972679 · Clinical Social Worker · Edgewater, FL
Provider details
- NPI number
- 1962972679
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- SW9102 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3504 Rock Oak Trl
Edgewater, FL 32141-7926
Phone: (321) 287-8567
Approximate (ZIP-level) locationGet directions
Mailing address
3504 Rock Oak Trl
Edgewater, FL 32141-7926
Registry dates
- Enumerated
- 2018-11-26
- Last updated
- 2018-11-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.