Active NPI
Jessica Mackenzie Guididas, LCSW
- Clinical Social Worker
- St Augustine, FL
National Provider Identifier
1306753256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 23956
- Practice address
- 543 Superior Blvd
St Augustine, FL 32092-1485 - Phone
- (908) 698-7370
- NPI assigned
- Aug 26, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 23956 | FL | Primary |
Addresses
Primary practice location
543 Superior Blvd
St Augustine, FL 32092-1485
Mailing address
543 Superior Blvd
St Augustine, FL 32092-1485
Phone (908) 698-7370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1306753256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "543 SUPERIOR BLVD",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320921485",
"telephone_number": "908-698-7370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "543 SUPERIOR BLVD",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320921485",
"telephone_number": "908-698-7370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIDIDAS",
"first_name": "JESSICA",
"middle_name": "MACKENZIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-26",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "23956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.