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

Jade Jessurun, LCSW

Individual provider Clinical Social Worker · NPI 1093250508

Jade Jessurun, LCSW is a Clinical Social Worker in St Petersburg, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
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.

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Practice location Address checks out

8950 Dr Ml King Jr St N
St Petersburg, FL 33702-3001
Phone: (727) 576-7600
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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 SW21021 (FL)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1093250508
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 20, 2016
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025

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