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NPI Code Detail

MEDICARE: JACY MESCH MSW. LCSW

MEDICARE:   JACY  MESCH  MSW. LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker14193FL
2101YM0800XMental Health Counselor14193FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396142576
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACY MESCH MSW. LCSW
Provider Business Mailing Address
First Line : 2505 NANCY ST
Second Line :
City : ORLANDO
State : FL
Zip : 32806-1657
Country : US
Telephone Number : 321-439-2509
Fax Number :
Provider Business Practice Location Address
First Line : 2505 NANCY ST
Second Line :
City : ORLANDO
State : FL
Zip : 32806-1657
Country : US
Telephone Number : 321-439-2509
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2014
Last Update Date : 02/17/2026

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Directions to “ JACY MESCH MSW. LCSW” Practice Location

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