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MRS. TONI MARIE STEPHENS LCSW
NPI 1275761546
Social Worker - Clinical in Jacksonville, FL

Active since June 25, 2009PECOS Enrolled
2400 EDGEWOOD AVE N, JACKSONVILLE, FL 32254(904) 781-0600(904) 781-0016 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 25, 2023, Aug 8, 2023 (2 updates tracked since 2023).

About Mrs. Toni Marie Stephens Lcsw NPPES

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

MRS. TONI MARIE STEPHENS LCSW (NPI 1275761546) is an individual clinical provider in Jacksonville, Florida, licensed in Florida (SW9215) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Melbourne.

NPPES Registry Identity

NPI1275761546
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. TONI MARIE STEPHENSCredential: LCSW
Location Address2400 EDGEWOOD AVE NJacksonville, FL 32254-1727
Mailing Address2400 Edgewood Ave NJacksonville, FL 32254-1727 · (904) 781-0600 · Fax (904) 781-0061
Phone(904) 781-0600
Fax(904) 781-0016
Sole ProprietorNo
Enumeration DateJune 25, 2009
Last NPPES UpdateAugust 25, 20232 updates tracked since enumeration
NPPES CertifiedAugust 25, 2023
✔ NPI 1275761546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · SW9215
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
2400 EDGEWOOD AVE N, Jacksonville, FL 32254
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Secondary Practice Location 1

Location 13661 S Babcock St Ste 115Melbourne, FL 32901-8205 · Phone (321) 434-1660 · Fax (321) 725-1998

Other Identifiers 2

Medicaid029591400FL
OtherRI746FL · Hfmg Ma

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Toni Marie Stephens Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Toni Stephens reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health First Medical Group, LLC
169 mi
General Practice
1223 GATEWAY DR
Melbourne, FL 32901
  • Reassigned Medicare billing, Florida enrollment
  • 773 clinicians in this Medicare group
NPI 1750626495 (321) 434-5055

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32254 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

MS. RINA DONTE NELLON
Counselor (Professional)
2400 EDGEWOOD AVE N
JACKSONVILLE, FL 32254
Duval County (904) 568-8299
MS. COZETTA ANTOINETTE SPENCER B.A.
Counselor (Mental Health)
2400 EDGEWOOD AVE N
JACKSONVILLE, FL 32254
Duval County (904) 781-0600
DENISE MARIE MUIRE LMHC
Counselor (Mental Health)
2400 EDGEWOOD AVE N
JACKSONVILLE, FL 32254
Duval County (904) 781-0600
CEDRIC MITCHELL
Case Manager/Care Coordinator
2400 EDGEWOOD AVE N
JACKSONVILLE, FL 32254
Duval County (904) 781-0600
ANGELA BAKER
Counselor (Mental Health)
2400 EDGEWOOD AVE N
JACKSONVILLE, FL 32254
Duval County (904) 781-0600
MS. VALERIE H. DURHAM MSW
Counselor (Mental Health)
2400 EDGEWOOD AVE N
JACKSONVILLE, FL 32254
Duval County (904) 781-0600
JACQUELYN BARNETT
Counselor (Mental Health)
2400 EDGEWOOD AVE N
JACKSONVILLE, FL 32254
Duval County (904) 781-0600
INEZ COLEY-WILLIAMS
Counselor (Mental Health)
2400 EDGEWOOD AVE N
JACKSONVILLE, FL 32254
Duval County (904) 781-0600

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 Toni Stephens's NPI number?

The NPI number for Toni Stephens is 1275761546. It was assigned to this individual provider in the NPPES registry on June 25, 2009.

Where is Toni Stephens located?

Toni Stephens practices at 2400 Edgewood Ave N, Jacksonville, FL 32254. The listed phone number is (904) 781-0600.

What is Toni Stephens's specialty?

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

Is Toni Stephens enrolled in Medicare?

Yes. Toni Stephens is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Toni Stephens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Toni Stephens reassigns Medicare benefits to Health First Medical Group, LLC (Melbourne, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Toni Stephens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Toni Stephens accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare and Oscar Health Maintenance Organization of Florida list Toni Stephens 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 Toni Stephens was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.