Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043544356 Individual Practitioner Female Practitioner

Alyssa A Thaxton , LCSW

Social Worker - Clinical • St Augustine, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Alyssa Thaxton, LCSW is a certified Social Worker - Clinical practicing in St Augustine, FL. With approximately 17 years of clinical experience since completing medical education in 2009, Alyssa Thaxton delivers high-quality medical care to the local community at 1100 PLANTATION ISLAND DR S STE 110-120.

Alyssa Thaxton is affiliated with Optum Behavioral Care Of North Carolina Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

1100 Plantation Island Dr S Ste 110-120

St Augustine, FL 320805173

Telephone 9048247733
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in St Augustine, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs -8.3 yrs vs City Avg
City Avg: 25.3 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
90 Specialists

Practicing in St Augustine, FL (13861 Statewide)

Telehealth Adoption Rate
8.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thaxton (17 Years) 17 Yrs
St Augustine Specialty Average (25.3 Years) 25.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-08-01
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License FL SW14679

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.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License GA CWS004742

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.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License NV 9980-C

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.

Hospital & Practice Group Affiliations

Optum Behavioral Care Of North Carolina Pc

1100 Plantation Island Dr S, St Augustine, FL 320805173

Phone: 9048247733

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
NPI 1003999608
NPI 1063502383
Stephen Henneka , LCSW

Social Worker - Clinical

NPI 1104916428

Licensed Clinical Social Worker

Yuliya Caprietta , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1124555628

Advanced Registered Nurse Practitioner

Patricia Lewis-Slayton , LCSW, LMFT

Counselor - Mental Health

NPI 1215010822

Licensed Clinical Social Worker, Licensed Marriage and Family Therapist

David O'byrne , MSW, LMFT

Counselor - Mental Health

NPI 1245309210

Master of Social Work, Licensed Marriage and Family Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location August 01, 2025

Registered at 1100 PLANTATION ISLAND DR S STE 110-120, ST AUGUSTINE, FL 320805173 (Tel: 9048247733)

📍
Updated Business Mailing Address August 01, 2025

Registered at 1100 PLANTATION ISLAND DR S STE 110-120, ST AUGUSTINE, FL 320805173

📍
Updated Practice Location June 20, 2022

Registered at 485 AVENTURINE AVE, ST AUGUSTINE, FL 320860373 (Tel: 7069179212)

📍
Updated Business Mailing Address June 20, 2022

Registered at 485 AVENTURINE AVE, ST AUGUSTINE, FL 320860373 (Tel: 7069179212)

👤
Provider Name / Credentials Updated June 20, 2022

Recorded as ALYSSA THAXTON, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2022

Social Worker (License #CWS004742 in GA)

📍
Updated Practice Location June 18, 2019

Registered at 3251 3RD AVE N, ST PETERSBURG, FL 337138506 (Tel: 7273213854)

📍
Updated Business Mailing Address June 18, 2019

Registered at 3251 3RD AVE N, ST PETERSBURG, FL 337138506 (Tel: 7273213854)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2019

Social Worker (License #SW14679 in FL)

NPI Profile Active December 26, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location December 26, 2013

Registered at 701 CHARLES GILMAN JR AVE STE A, KINGSLAND, GA 315485662 (Tel: 9125760401)

📍
Updated Business Mailing Address December 26, 2013

Registered at 701 CHARLES GILMAN JR AVE STE A, KINGSLAND, GA 315485662 (Tel: 9125760401)

👤
Provider Name / Credentials Updated December 26, 2013

Recorded as ALYSSA THAXTON, LCSW, CAC II

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 26, 2013

Social Worker (License #CWS004742 in GA)

🟢
Initial NPI Registration & Enumeration September 21, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043544356
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2009
Last Update: August 01, 2025
Sole Proprietor: Yes

Mailing Address

1100 Plantation Island Dr S Ste 110-120

St Augustine, FL 320805173

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.