Jacquelyn Coughlin, LCSW
NPI 1396175980ActiveIndividual· Social Worker, Clinical· Riverview, FL
Social Worker, Clinical (LCSW) with Brandon Mental Health, practicing in Riverview, Florida. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1396175980 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Nov 18, 2013 |
| Last updated in NPPES | Nov 18, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | SW 10963 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (FL) |
|---|
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Brandon Mental HealthBrandon, FL · 15 clinicians
Other clinical social workers in Riverview
- 1013524883
- 1023701679
- 1083434096
- 1093472029
- 1124785167
- 1174428304
- 1235205626
- 1245440866
- 1356708259
- 1497338230
- 1740784719
- 1871347237
All 59 clinical social workers in Riverview · All clinical social workers in Florida