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

Individual provider Clinical Social Worker · NPI 1396175980

Jacquelyn Coughlin, LCSW is a Clinical Social Worker in Riverview, Florida. Qualified in 2007, 19 years ago. Practices with Brandon Mental Health, a 15-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
19
Licensed in
FL
In the registry since
2013
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

10901 Carnelian Ln
Riverview, FL 33578-3915
Phone: (813) 967-5616
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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 10963 (FL)

Record details

NPI number1396175980
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 18, 2013
Last updated in NPPESNovember 18, 2013
Mailing address10901 Carnelian Ln, Riverview, FL 33578-3915

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Brandon Mental Health — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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