Individual provider Active NPI

Kaylee Gwen Newton

  • Social Worker
  • Huntsville, AL
National Provider Identifier
1053922716
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
2004 Poole Dr NW Ste C
Huntsville, AL 35810-3897
Phone
(256) 486-1031
NPI assigned
Aug 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

2004 Poole Dr NW Ste C
Huntsville, AL 35810-3897

Mailing address

2004 Poole Dr NW Ste C
Huntsville, AL 35810-3897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251202001997 AL Practitioner - Clinical Social Worker 7315430055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Alabama School of Medicine, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

400 Office Park Dr
Suite 230
Mountain BRK, AL 35223-3408

400 Office Park Dr
Suite 230
Mountain BRK, AL 35223-3410

602 S Lake Pleasant Rd
Apopka, FL 32703-5620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Still Waters Counseling and Education Center CurrentSince Oct 28, 2025 Accepting new patients

Locations

400 Office Park Dr
Ste 230
Mountain Brk, AL 35223
Phone (205) 825-1423

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1053922716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 POOLE DR NW STE C",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358103897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 POOLE DR NW STE C",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358103897",
            "telephone_number": "256-486-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWTON",
        "first_name": "KAYLEE",
        "middle_name": "GWEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.