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

Nathaly N Baldeon Erazo, LCSW

Individual provider Clinical Social Worker · NPI 1275423139

Nathaly N Baldeon Erazo, LCSW is a Clinical Social Worker in Jacksonville, Florida. Qualified in 2016, 10 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2025
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

4651 Salisbury Rd Ste 400
Jacksonville, FL 32256-6187
Phone: (646) 941-7645
Fax: (929) 596-7897
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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 SW18063 (FL)

Record details

NPI number1275423139
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 3, 2025
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025

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
Practice locations2 on file with Medicare

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