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

Jack Richardson, LCSW

Individual provider Clinical Social Worker · NPI 1811924509

Jack Richardson, LCSW is a Clinical Social Worker in Tallahassee, Florida. Qualified in 1992, 34 years ago. Accepts Medicare assignment. Licensed in Florida.

Years since qualifying
34
Licensed in
FL
In the registry since
2006
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

2724 Capital Cir NE Ste 8
Tallahassee, FL 32308-1118
Phone: (850) 656-5112
Fax: (850) 656-3902
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 SW 4326 (FL)

Record details

NPI number1811924509
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESMarch 12, 2015

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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