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

Harrison Domeshek

Individual provider Clinical Social Worker · NPI 1114728052

Harrison Domeshek is a Clinical Social Worker in Jacksonville, Florida. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4595 Lexington Ave
Jacksonville, FL 32210-2058
Phone: (904) 448-4700
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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

Record details

NPI number1114728052
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 24, 2025
Last updated in NPPESMarch 24, 2025
Certification dateMarch 24, 2025

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