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

Tai-Isha Watson-Jack, LCSW

Individual provider Mental Health Counselor · NPI 1073914230

Tai-Isha Watson-Jack, LCSW is a Mental Health Counselor in Jacksonville, Florida. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

3027 San Diego Rd
Jacksonville, FL 32207-3691
Phone: (904) 568-8215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1073914230
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 8, 2014
Last updated in NPPESApril 26, 2023
Certification dateApril 26, 2023

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