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

Mrs. Alyssa A Thaxton, LCSW

Individual provider Clinical Social Worker · NPI 1043544356

Mrs. Alyssa A Thaxton, LCSW is a Clinical Social Worker in St Augustine, Florida. Qualified in 2009, 17 years ago. Practices with Optum Behavioral Care of North Carolina PC, a 176-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida, Georgia and Nevada.

Years since qualifying
17
Licensed in
FL, GA, NV
In the registry since
2009
Specialties on file
3
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

1100 Plantation Island Dr S Ste 110-120
St Augustine, FL 32080-5173
Phone: (904) 824-7733
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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 SW14679 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence CWS004742 (GA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 9980-C (NV)

Record details

NPI number1043544356
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 21, 2009
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Optum Behavioral Care Of North Carolina Pc — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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