Individual provider Active NPI

Kerstin Welch, LCSW

  • Clinical Social Worker
  • Indialantic, FL
National Provider Identifier
1174283097
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
150 Coconut Dr
Indialantic, FL 32903-2644
Phone
(321) 510-4462
NPI assigned
Dec 20, 2021
Last updated
Aug 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

150 Coconut Dr
Indialantic, FL 32903-2644

Mailing address

301 Sherwood Ave
Satellite Beach, FL 32937-3037
Phone (321) 510-4462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230317002108 FL Practitioner - Clinical Social Worker 7113391939 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

150 Coconut Dr
Indialantic, FL 32903-2644
Phone (321) 510-4462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bayside Recovery and Wellness Center LLC CurrentSince Dec 2, 2022 Accepting new patients
Beachside Recovery Interventions & Consulting LLC Current Accepting new patients
Guiding Light LLC Clinical CurrentSince Sep 5, 2025 Accepting new patients

Locations

150 Coconut Dr
Indialantic, FL 32903
Phone (321) 510-4462

1501 Robert J Conlan Blvd NE
Ste 7
Palm Bay, FL 32905
Phone (321) 372-6897

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1174283097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SHERWOOD AVE",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373037",
            "telephone_number": "321-510-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 COCONUT DR",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329032644",
            "telephone_number": "321-510-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "KERSTIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-20",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indialantic, FL

Sources for this page

Verify at the official NPI Registry.