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

Phillip Stafford, LCSW

Individual provider Clinical Social Worker · NPI 1497809040

Phillip Stafford, LCSW is a Clinical Social Worker in Titusville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
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

3080 Royal Oak Dr
Titusville, FL 32780-4815
Phone: (407) 435-2907
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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 17762 (FL)

Record details

NPI number1497809040
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 22, 2007
Last updated in NPPESFebruary 24, 2023
Certification dateFebruary 24, 2023

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