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MARY ELIZABETH GRESHAM LCSW
NPI 1609335132
Counselor - Mental Health in Jacksonville, FL

Active since March 14, 2019PECOS Enrolled
7751 BELFORT PKWY STE 350, JACKSONVILLE, FL 32256(904) 363-7453 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2026, Mar 17, 2025, Oct 6, 2023 and 1 more (4 updates tracked since 2019).

About Mary Elizabeth Gresham Lcsw NPPES

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

MARY ELIZABETH GRESHAM LCSW (NPI 1609335132) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (SW19802) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1609335132
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY ELIZABETH GRESHAMCredential: LCSW
Location Address7751 BELFORT PKWY STE 350Jacksonville, FL 32256-6951
Mailing Address7751 Belfort Pkwy Ste 350Jacksonville, FL 32256-6951 · (904) 363-7453
Phone(904) 363-7453
Sole ProprietorYes
Enumeration DateMarch 14, 2019
Last NPPES UpdateFebruary 3, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1609335132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · SW19802
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
7751 BELFORT PKWY STE 350, Jacksonville, FL 32256
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Secondary Practice Location 1

Location 13027 San Diego RdJacksonville, FL 32207-3691 · Phone (904) 493-7744

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Elizabeth Gresham 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.

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 Mary Gresham's NPI number?

The NPI number for Mary Gresham is 1609335132. It was assigned to this individual provider in the NPPES registry on March 14, 2019.

Where is Mary Gresham located?

Mary Gresham practices at 7751 Belfort Pkwy Ste 350, Jacksonville, FL 32256. The listed phone number is (904) 363-7453.

What is Mary Gresham's specialty?

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

Is Mary Gresham enrolled in Medicare?

Yes. Mary Gresham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Gresham was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.