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

Jake Swanson, LCSW

Individual provider Clinical Social Worker · NPI 1609480383

Jake Swanson, LCSW is a Clinical Social Worker in Melbourne, Florida. Qualified in 2018, 8 years ago. Practices with Balanced Wellbeing LLC, a 231-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2020
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

3932 W Eau Gallie Blvd Ste 101
Melbourne, FL 32934-3283
Phone: (321) 207-8495
Fax: (709) 400-7957
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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 SW20648 (FL)

Record details

NPI number1609480383
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 1, 2020
Last updated in NPPESApril 24, 2025
Certification dateApril 24, 2025
Mailing address3932 W Eau Gallie Blvd Ste 101, Melbourne, FL 32934-3283

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Balanced Wellbeing Llc — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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