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DR. TINA F JAECKLE PH.D.
NPI 1033876974
Social Worker - Clinical in Middleburg, FL

Active since November 28, 2021
4088 COYOTE CT, MIDDLEBURG, FL 32068(904) 237-2008 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Tina F Jaeckle Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TINA F JAECKLE PH.D. (NPI 1033876974) is an individual clinical provider in Middleburg, Florida, licensed in Florida (SW6154) and active in the NPI registry since November 2021. She maintains a secondary practice location in Asheville.

NPPES Registry Identity

NPI1033876974
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDR. TINA F JAECKLECredential: PH.D.
Location Address4088 COYOTE CTMiddleburg, FL 32068-2225
Mailing Address4088 Coyote CtMiddleburg, FL 32068-2225 · (904) 237-2008
Phone(904) 237-2008
Sole ProprietorYes
Enumeration DateNovember 28, 2021
Last NPPES UpdateAugust 1, 2025
NPPES CertifiedAugust 1, 2025
✔ NPI 1033876974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in FL · SW6154✔ Licensed in NC · C018742
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4088 COYOTE CT, Middleburg, FL 32068
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Secondary Practice Location 1

Location 1204 Charlotte Hwy Ste EAsheville, NC 28803-8681 · Phone (828) 333-5708 · Fax (828) 484-1025

Other Identifiers 1

Medicaid1041C0700XFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tina Jaeckle's NPI number?

The NPI number for Tina Jaeckle is 1033876974. It was assigned to this individual provider in the NPPES registry on November 28, 2021.

Where is Tina Jaeckle located?

Tina Jaeckle practices at 4088 Coyote Ct, Middleburg, FL 32068. The listed phone number is (904) 237-2008.

What is Tina Jaeckle's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Tina Jaeckle accept?

Health plans from Blue Cross and Blue Shield of NC list Tina Jaeckle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tina Jaeckle was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.