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

Individual provider Clinical Social Worker · NPI 1790004364

Debra A. Wiles, LCSW is a Clinical Social Worker in St Augustine, Florida. Qualified in 1981, 45 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
45
Licensed in
FL
In the registry since
2010
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

77 Saragossa St
St Augustine, FL 32084-3548
Phone: (904) 325-5322
Fax: (904) 512-0229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW 3149 (FL)

Record details

NPI number1790004364
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 21, 2010
Last updated in NPPESMay 17, 2024
Certification dateMay 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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