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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TYLISHA ELYSE DESHIELDS, LCSW-C

Active Sole Proprietor

TYLISHA ELYSE DESHIELDS, LCSW-C is a Clinical Social Worker healthcare provider located in JACKSONVILLE, Florida. NPI 1144733627 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · JACKSONVILLE, FL

Registration Details

NPI Number
1144733627
Provider Type
Individual
Gender
Female
NPI Issued
Nov 7, 2017 (8.7259488322385 yrs)
Last Updated
Nov 7, 2017
License
19390 (MD)
Sole Proprietor
Yes

Practice Information

Address
554 KEILY STREET
JACKSONVILLE, FL, 32212
Browse FL providers · Browse ZIP 32212
Phone
7579537550
Fax
7579537560
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in JACKSONVILLE, FL

Name Credential NPI
MRS. LYNDA R. MANCE L.C.S.W., CEAP, SAP 1730182940
MS. KATHERINE ANN LEMASTER LCSW, RN 1023015062
BETH B PAGE LCSW 1538157375
KAREN ANN AVESATO LCSW 1588653984
VICTORIA MANUEL LCSW 1477543114
MR. FRED SACKLOW LCSW 1619968716
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.