Kelly A Acker, RCSWI

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW12786 Issued in FL

Practice address

17 S de Villiers St
Pensacola, FL 32502-5511

Phone

(850) 619-5865

NPI assigned

Mar 23, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Purposeful Change LLC

  • Clinical Social Worker
  • Pensacola, FL
  • NPI 1245019066

  Clinical

  NPD (past)
• The Center for Compassionate Care, LLC

  • Mental Health Counselor
  • Pensacola, FL
  • NPI 1992343172
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1043913650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4380 BAYOU RIDGE DR",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718647",
            "telephone_number": "850-346-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 S DE VILLIERS ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025511",
            "telephone_number": "850-619-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKER",
        "first_name": "KELLY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "RCSWI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-23",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW12786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Accessible Physical Therapy Inc
• Peter Richard Accorti, ARNP
• Accredited Cardiovascular and Arrhythmia LLC
• Accumed Claim Solutions
• John Andrew Acker, DMD
• Acts Retirement-Life Communities
• Acts Retirement-Life Communities Inc.
• Acts Retirement-Life Communities, Inc.
• Acts Signature Community Services, Inc.
• James Patrick Adair II, PA-C

• All providers in Pensacola, FL
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.