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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MARY JANE JEDI KMAK LCSW
NPI 1821997537
Social Worker - Clinical in Port Charlotte, FL

Active since November 02, 2026
1777 TAMIAMI TRL STE 500, PORT CHARLOTTE, FL 33948(941) 780-4268 Get Directions Write a Review

NPPES record added: November 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mary Jane Jedi Kmak Lcsw NPPES

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

MARY JANE JEDI KMAK LCSW (NPI 1821997537) is an individual clinical provider in Port Charlotte, Florida, licensed in Florida (SW27059) and active in the NPI registry since November 2026.

NPPES Registry Identity

NPI1821997537
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY JANE JEDI KMAKCredential: LCSW
Location Address1777 TAMIAMI TRL STE 500Port Charlotte, FL 33948-1083
Mailing Address2309 Fintonrod StPort Charlotte, FL 33948-3410 · (954) 815-0300
Phone(941) 780-4268
Sole ProprietorNo
Enumeration DateNovember 2, 2026
NPPES CertifiedNovember 2, 2026
✔ NPI 1821997537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · SW27059
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.
1777 TAMIAMI TRL STE 500, Port Charlotte, FL 33948
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Other Providers at the Same Location NPPES 5

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

KATHRYN WHITE LCSW
Social Worker (Clinical)
1777 TAMIAMI TRL STE 500
PORT CHARLOTTE, FL 33948
Charlotte County (941) 780-4268
ALEXANDRA SANTANA
Counselor (Mental Health)
1777 TAMIAMI TRL STE 500
PORT CHARLOTTE, FL 33948
Charlotte County (941) 518-0487
PETER ROBERT GAERLAN-DI LIBERO LCSW
Social Worker (Clinical)
1777 TAMIAMI TRL STE 500
PORT CHARLOTTE, FL 33948
Charlotte County (941) 780-4268
MR. DAVID STEPHEN SPARROW
Counselor (Mental Health)
1777 TAMIAMI TRL STE 500
PORT CHARLOTTE, FL 33948
Charlotte County (941) 780-4268
CATHERINE ASHELEY EMMETT LCSW
Social Worker (Clinical)
1777 TAMIAMI TRL STE 500
PORT CHARLOTTE, FL 33948
Charlotte County (941) 780-4268

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 Jane Kmak's NPI number?

The NPI number for Mary Jane Kmak is 1821997537. It was assigned to this individual provider in the NPPES registry on November 2, 2026.

Where is Mary Jane Kmak located?

Mary Jane Kmak practices at 1777 Tamiami Trl Ste 500, Port Charlotte, FL 33948. The listed phone number is (941) 780-4268.

What is Mary Jane Kmak's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Jane Kmak was last updated on November 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.