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

Individual provider Clinical Social Worker · NPI 1710741343

Dominique Jalisia Mickler, LCSW is a Clinical Social Worker in St Petersburg, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2024
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

360 Central Ave Ste 1230
St Petersburg, FL 33701-3865
Phone: (172) 756-5242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9400 4th St N Ste 200, St Petersburg, FL 33702-2501 — (813) 508-7866

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW22641 (FL)

Record details

NPI number1710741343
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 13, 2024
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024

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