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

MS. Mary Katherine Soucek, MS, MSW

Individual provider Clinical Social Worker · NPI 1881954584

MS. Mary Katherine Soucek, MS, MSW is a Clinical Social Worker in Fort Myers, Florida. Qualified in 2012, 14 years ago. Practices with Dna Comprehensive Therapy Services LLC, a 437-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
14
Licensed in
FL
In the registry since
2012
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

1940 Maravilla Ave
Fort Myers, FL 33901-7135
Phone: (239) 334-0222
Fax: (239) 334-0244
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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 SW12468 (FL)
Social Worker Taxonomy 104100000X

Record details

NPI number1881954584
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , MSW
Sole proprietorYes
NPI enumeratedMay 29, 2012
Last updated in NPPESJanuary 19, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Dna Comprehensive Therapy Services Llc — 437 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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