Individual provider Active NPI

Giselle Dejean, LCSW AND LICSW

  • Clinical Social Worker
  • West Melbourne, FL
National Provider Identifier
1184265019
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW1120877 Issued in MA
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241212001782 MA Practitioner - Clinical Social Worker 8325574494 Reassigns benefits to 1 organization
I20241215000007 FL Practitioner - Clinical Social Worker 8325574494 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW23526FLMDClinical Social Worker
LICSW1120877MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gracefully Transparent L.L.C Clinical CurrentSince Feb 9, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Nov 13, 2024 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.

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

Verify at the official NPI Registry.