Kelli Cordis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW13237 Issued in FL

Practice address

30 Danube River Dr
Suite 616
Cocoa Beach, FL 32931-2832

Phone

(773) 350-7602

NPI assigned

Mar 1, 2016

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

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

Specialty

Clinical Social Worker

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457740800000",
    "number": "1235599440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 DANUBE RIVER DR",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329312832",
            "telephone_number": "773-350-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 DANUBE RIVER DR",
            "address_2": "SUITE 616",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329312832",
            "telephone_number": "773-350-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDIS",
        "first_name": "KELLI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cocoa Beach Family Medicine
• Cocoa Beach Hearing Center
• Kerri Lynn Connell, PA-C
• Abby Lee Cook, PA
• Patrick Cooney, MD
• Brandi Crittenden
• Ashley Nicole Cumbess, LMHC
• Elysia Danielle Dana, APRN
• Alexandra Davis, PSY.D
• Courtney F Davis, LMT LICENSED MASSAGE

• Clinical Social Worker in Cocoa Beach, FL
• Providers in Cocoa Beach, 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 Mar 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.