JERMAINE CORLEY LCSW NPI 1386451011

NPI Information

  • NPI: 1386451011
  • Provider Name: JERMAINE CORLEY, LCSW
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 6382 RISING SUN DR
    JACKSONVILLE, FL
    ZIP 32218
  • Phone: (904) 434-3719

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NPI Details

Jermaine Corley, LCSW is a mental health counselor in Jacksonville, FL. Jermaine Corley, LCSW NPI is 1386451011. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6382 RISING SUN DR
JACKSONVILLE, FL
ZIP 32218-398
Phone: (904) 434-3719

The enumeration date for this NPI number is 12/16/2024 and was last updated on 12/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthSW23998FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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