Kelly Jaworski, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW17716 Issued in FL

Practice address

15530 W Highway 326
Morriston, FL 32668-7311

Phone

(561) 601-0969

NPI assigned

Jan 4, 2021

Last updated

May 21, 2023By the provider in NPPES

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

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684627200000",
    "number": "1144818378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 SW 46TH CT APT 701",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344746267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15530 W HIGHWAY 326",
            "city": "MORRISTON",
            "state": "FL",
            "postal_code": "326687311",
            "telephone_number": "561-601-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAWORSKI",
        "first_name": "KELLY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2023-05-21",
        "certification_date": "2023-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall D Barr, DPT, MS
• Ashley Busch
• Care 4 America Inc
• Ryan Charles Comstock, APRN
• Brenda Giles
• Mandy Laroy
• Medihill Inc.
• Mending Fences (Mending Fences LLC)
• Mending Fences (Mending Fences, LLC)
• Mending Fences Behavioral Health Services, LLC (Haven Detox Morriston, LLC)

• Clinical Social Worker in Morriston, FL
• Providers in Morriston, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2023; 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.