The KDC Agency

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE KDC AGENCY

Practice address

9730 Glacier Dr
Miramar, FL 33025-4407

Phone

(954) 993-1646

NPI assigned

Dec 31, 2025

Last updated

Dec 31, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

BLUE COUCH THERAPYAs reported in NPPES

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

Authorized official

Name

Kettia Duperval, LCSW-QSNPI 1164733895

Title

Manager

Phone

(954) 993-1646

Specialties & licenses 1

Addresses

Part of

The KDC Agency

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kettia Duperval, LCSW

  • Clinical Social Worker
  • Miramar, FL
  • NPI 1164733895
  NPD Authorized official

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

{
    "created_epoch": "1767139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767139200000",
    "number": "1205792439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 N FLAMINGO RD # 2292",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330283501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 GLACIER DR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330254407",
            "telephone_number": "954-993-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KDC AGENCY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLUE COUCH THERAPY",
        "enumeration_date": "2025-12-31",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A",
        "authorized_official_last_name": "DUPERVAL",
        "authorized_official_first_name": "KETTIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-993-1646",
        "authorized_official_credential": "LCSW-QS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Center for Facial Restoration, Incorporated
• The Derm Group LLP
• The Derm Group LLP
• The Hair Artistry Inc
• The Health Connexion
• The Key Multiple Services
• The Milk Collective, LLC
• The Nurses Guild, Inc
• The Peds Place Therapy, LLC
• The Right Nurse II LLC (ContinuHome Health Connections)

• Clinical Social Worker in Miramar, FL
• Providers in Miramar, 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 Dec 31, 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.