Christine Kazachkova, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW17882 Issued in FL

Practice address

4715 NW 53Rd Ave Ste B
Gainesville, FL 32653-4812

Phone

(352) 322-4816

NPI assigned

Jun 29, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1215319074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 NW 40TH TER STE A1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053592",
            "telephone_number": "352-322-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 NW 53RD AVE STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326534812",
            "telephone_number": "352-322-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZACHKOVA",
        "first_name": "CHRISTINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahan Ashish Kayastha, MD
• Alexander S Kaye, M.D.
• Frederic Joseph Kaye, MD
• Kimberly A. Kaye, M.D.
• Cloudia Jacqueline Kaywell, MSN, ARNP-C
• Kimberly Kazimour, PH.D.
• Christopher Kazmierczak
• Gregory A Kazmierski, ARNP
• Amir Hassan Kazory, MD
• Anil KC

• Clinical Social Worker in Gainesville, FL
• Providers in Gainesville, 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 Oct 8, 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.