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

Trista Nicole Sturrup, LCSW

Individual provider Clinical Social Worker · NPI 1245709369

Trista Nicole Sturrup, LCSW is a Clinical Social Worker in Fort Myers, Florida. Qualified in 2015, 11 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2018
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

4310 Metro Pkwy Ste 205
Fort Myers, FL 33916-9416
Phone: (396) 906-9062
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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 SW22741 (FL)

Record details

NPI number1245709369
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 19, 2018
Last updated in NPPESApril 16, 2024
Certification dateApril 16, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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