TAI-ISHA WATSON-JACK LCSW
NPI 1073914230
Counselor - Mental Health in Jacksonville, FL

Active since September 08, 2014
3027 SAN DIEGO RD, JACKSONVILLE, FL 32207(904) 568-8215 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tai-isha Watson-jack Lcsw NPPES

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

TAI-ISHA WATSON-JACK LCSW (NPI 1073914230) is an individual mental health provider in Jacksonville, Florida and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1073914230
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTAI-ISHA WATSON-JACKCredential: LCSW
Location Address3027 SAN DIEGO RDJacksonville, FL 32207-3691
Mailing Address3027 San Diego RdJacksonville, FL 32207-3691 · (904) 568-8215
Sole ProprietorNo
Enumeration DateSeptember 8, 2014
Last NPPES UpdateApril 26, 2023
NPPES CertifiedApril 26, 2023
NPI 1073914230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3027 SAN DIEGO RD, Jacksonville, FL 32207

Other Identifiers 2

Medicaid03505424NY
OtherSW18676FL · State License

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
3027 SAN DIEGO RD
JACKSONVILLE, FL 32207
Social Worker (Clinical)
3027 SAN DIEGO RD
JACKSONVILLE, FL 32207
Counselor (Mental Health)
3027 SAN DIEGO RD
JACKSONVILLE, FL 32207
Counselor (Mental Health)
3027 SAN DIEGO RD
JACKSONVILLE, FL 32207
Case Manager/Care Coordinator
3027 SAN DIEGO RD
JACKSONVILLE, FL 32207
Social Worker
3027 SAN DIEGO RD
JACKSONVILLE, FL 32207
Case Manager/Care Coordinator
3027 SAN DIEGO RD
JACKSONVILLE, FL 32207
Social Worker (Clinical)
3027 SAN DIEGO RD
JACKSONVILLE, FL 32207

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 Tai-isha Watson-jack's NPI number?

The NPI number for Tai-isha Watson-jack is 1073914230. It was assigned to this individual provider in the NPPES registry on September 8, 2014.

Where is Tai-isha Watson-jack located?

Tai-isha Watson-jack practices at 3027 San Diego Rd, Jacksonville, FL 32207. The listed phone number is (904) 568-8215.

What is Tai-isha Watson-jack's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Tai-isha Watson-jack accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Tai-isha Watson-jack 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 Tai-isha Watson-jack was last updated on April 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.