Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Space Coast Psychiatry, Inc

Organization Clinical Social Worker · NPI 1912316886

Space Coast Psychiatry, Inc provides Clinical Social Worker services in Cocoa Beach, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

503 N Orlando Ave Ste 201
Cocoa Beach, FL 32931-3171 Not confirmed with CMS for 12 years — call before visiting
Phone: (321) 613-5595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence ME116732 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence SW5028 (FL)

Record details

NPI number1912316886
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Llinas — President · (321) 613-5595
NPI enumeratedAugust 5, 2014
Last updated in NPPESAugust 5, 2014
Mailing address503 N Orlando Ave, Suite 201, Cocoa Beach, FL 32931-3171

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