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

Mr. Jonathan Richard Wade Sr., LCSW

Individual provider Clinical Social Worker · NPI 1861416927

Mr. Jonathan Richard Wade Sr., LCSW is a Clinical Social Worker in Bay Pines, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
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

10000 Bay Pines Blvd Dom C-180
Bay Pines, FL 33744
Phone: (727) 398-6661
Fax: (727) 398-9509
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW8569 (FL)

Record details

NPI number1861416927
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESAugust 12, 2008

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