MRS. MARY LUCIAN L CRONKITE (LCSW) – Clinical Social Worker, NPI 1407863541

MRS. MARY LUCIAN L CRONKITE (LCSW) is a healthcare provider. based in Jacksonville, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. SW6024 (FL). The NPI Number for MRS. MARY LUCIAN L CRONKITE (LCSW) is 1407863541

Main info

Female
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARY LUCIAN L CRONKITE (LCSW)
NPI
1407863541
Phone
(904) 296-1055
Address
3725 BELFORT RD
Enumeration Date
2 August 2006
Last Update Date
26 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2053029000
Graduation Year
1988 (38 years ago)
PAC ID
8123568417
Group Practice PAC ID
0749181998
Professional Enrollment ID
I20240913000281
Address ID
AL355014377JA1100XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,376 CLINICAL SOCIAL WORKER in FL

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Provider Addresses for MRS. MARY LUCIAN L CRONKITE (LCSW)

  • 3725, Belfort Road, Pineland Gardens, Jacksonville, Duval County, Florida, 32216, United States

    JACKSONVILLE, FL 322165813

    Phone: (904) 296-1055

    Fax: (904) 448-1820

    Type: Location

  • 1100 7TH AVE

    JASPER, AL 355014377

    Phone: (205) 387-0541

    Type: Location

  • 3725 Belfort Rd

    Jacksonville, FL 322165813

    Phone: (904) 296-1055

    Fax: (904) 448-1820

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240913000281IClinical Social WorkerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32216)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749181998View full group profile
NameSpecialtyState
Clinical Social WorkerAL
Mental Health CounselorAL
Nurse PractitionerAL
P S Y C H I A T R YAL
-AL
Nurse PractitionerAL
Nurse PractitionerAL
P S Y C H I A T R YAL

Reviews

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Frequently asked questions

How do payers reference MRS. MARY LUCIAN L CRONKITE (LCSW)?
For MRS. MARY LUCIAN L CRONKITE (LCSW), use NPI 1407863541 as the unique 10-digit identifier.
Is MRS. MARY LUCIAN L CRONKITE (LCSW) shown as active in public data?
Registry records indicate MRS. MARY LUCIAN L CRONKITE (LCSW) maintains an active NPI.
How would a patient describe MRS. MARY LUCIAN L CRONKITE (LCSW)'s focus?
For MRS. MARY LUCIAN L CRONKITE (LCSW), the primary taxonomy reads as Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Florida is MRS. MARY LUCIAN L CRONKITE (LCSW) registered?
Use Jacksonville, Florida as the headline location for MRS. MARY LUCIAN L CRONKITE (LCSW) here.
Can I trust this NPI listing for MRS. MARY LUCIAN L CRONKITE (LCSW)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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