Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charlene Vandiver

Individual provider Clinical Social Worker · NPI 1801280763

Charlene Vandiver is a Clinical Social Worker in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2015
Specialties on file
2

Practice location Address checks out

3361 Sara Dr
Jacksonville, FL 32277-2525
Phone: (904) 742-0826
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW15684 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 9222 (FL)

Record details

NPI number1801280763
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 27, 2015
Last updated in NPPESJuly 29, 2022
Certification dateJuly 18, 2022

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