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

Individual provider Clinical Social Worker · NPI 1891536272

Mr. Jessie Humphries, LCSW is a Clinical Social Worker in Brandon, Florida. Qualified in 2016, 10 years ago. Practices with Learning to Achieve Wellness Inc, a 52-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2024
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

1215 Tuxford Dr
Brandon, FL 33511-1802
Phone: (256) 200-1531
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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 SW22969 (FL)

Record details

NPI number1891536272
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 1, 2024
Last updated in NPPESJune 1, 2024
Certification dateJune 1, 2024

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)
Group practice Learning To Achieve Wellness Inc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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