Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Jonnelle Tavarez, LCSW

Individual provider Clinical Social Worker · NPI 1962287672

Jonnelle Tavarez, LCSW is a Clinical Social Worker in Valrico, Florida. Qualified in 2014, 12 years ago. Practices with Mind Your Mind, a 22-clinician group. Licensed in Florida and New Jersey.

Years since qualifying
12
Licensed in
FL, NJ
In the registry since
2023
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

4002 Quail Briar Dr
Valrico, FL 33596-6330
Phone: (908) 906-8400
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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 44SC06620900 (NJ)
Clinical Social Worker Taxonomy 1041C0700X · Licence SW26518 (FL)

Record details

NPI number1962287672
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 30, 2023
Last updated in NPPESOctober 21, 2026
Certification dateOctober 21, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Mind Your Mind — 22 clinicians
Accepts Medicare assignment Not indicated

Colleagues at Mind Your Mind

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 22 clinicians in the practice; 12 are shown here.

Other providers in Valrico