Active NPI
Giselle Dejean, LCSW AND LICSW
- Clinical Social Worker
- West Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LICSW1120877
- Practice address
- 887 Gazebo Cir Apt 6106
West Melbourne, FL 32904-5239 - Phone
- (407) 431-0425
- NPI assigned
- Oct 2, 2019
- Last updated
- Mar 16, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LICSW1120877 | MA | Primary |
| Clinical Social Worker | 1041C0700X | SW23526 | FL |
Addresses
Primary practice location
887 Gazebo Cir Apt 6106
West Melbourne, FL 32904-5239
Mailing address
1486 Diablo Cir SW
Palm Bay, FL 32908-6444
Phone (407) 431-0425
Other practice location 1
1486 Diablo Cir SW
Palm Bay, FL 32908-6444
Phone (407) 431-0425
Other practice location 2
163 Highland Ave Ste 1048
Needham, MA 02494-3025
Phone (774) 351-0425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW23526 | FL | MD | Clinical Social Worker |
| LICSW1120877 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gracefully Transparent L.L.C | Clinical | Current | Accepting new patients |
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Melbourne, FL
- NPI 1083428502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1184265019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1486 DIABLO CIR SW",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329086444",
"telephone_number": "407-431-0425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "887 GAZEBO CIR APT 6106",
"city": "WEST MELBOURNE",
"state": "FL",
"postal_code": "329045239",
"telephone_number": "407-431-0425"
}
],
"practiceLocations": [
{
"address_1": "1486 Diablo Cir SW",
"address_purpose": "LOCATION",
"city": "Palm Bay",
"state": "FL",
"postal_code": "329086444",
"country_code": "US",
"telephone_number": "407-431-0425",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "163 Highland Ave Ste 1048",
"address_purpose": "LOCATION",
"city": "Needham",
"state": "MA",
"postal_code": "024943025",
"country_code": "US",
"telephone_number": "774-351-0425",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEJEAN",
"first_name": "GISELLE",
"credential": "LCSW AND LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-02",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "LICSW1120877",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW23526",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.