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

Rose Ann Lickenbrock, LCSW

Individual provider Clinical Social Worker · NPI 1619624012

Rose Ann Lickenbrock, LCSW is a Clinical Social Worker in Ponte Vedra Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022
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

116 Old Mill Ct
Ponte Vedra Beach, FL 32082-4133
Phone: (904) 537-7649
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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 SW6040 (FL)

Record details

NPI number1619624012
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 5, 2022
Last updated in NPPESMarch 5, 2022
Certification dateMarch 5, 2022

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