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

Ezra L Stone, LCSW

Individual provider Counselor · NPI 1356806814

Ezra L Stone, LCSW is a Clinical Social Worker in Lake City, Florida. Qualified in 2017, 9 years ago. Practices with Edges Wellness Center LLC, an 8-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2019
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

439 SW Michigan St
Lake City, FL 32025-0440
Phone: (352) 374-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4300 Sw 13th St, Gainesville, FL 32608-4006 — (352) 374-5600

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW17868 (FL)
Counselor Taxonomy 101Y00000X

Record details

NPI number1356806814
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 8, 2019
Last updated in NPPESJune 28, 2022
Certification dateJune 28, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Edges Wellness Center Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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