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

Miss. Lacey Marena Langston, LCSW

Individual provider Clinical Social Worker · NPI 1528734258

Miss. Lacey Marena Langston, LCSW is a Clinical Social Worker in Jacksonville, Florida. Qualified in 2016, 10 years ago. Practices as a sole proprietor, works from 2 locations and offers telehealth. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2021
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

2055 Reyko Rd Ste 100
Jacksonville, FL 32207-2822
Phone: (904) 648-8200
Fax: (904) 253-3270
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 115 4th Ave S, Jacksonville Beach, FL 32250-6730 — (850) 933-9729

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW16394 (FL)

Record details

NPI number1528734258
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 22, 2021
Last updated in NPPESJanuary 26, 2023
Certification dateJanuary 26, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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