Active NPI
Kelsey McKay Hackler, LCSW
- Clinical Social Worker
- Wesley Chapel, FL
National Provider Identifier
1245672567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12929
- Practice address
- 5840 Estes LN
Wesley Chapel, FL 33545-4329 - Phone
- (813) 695-5407
- NPI assigned
- Jul 28, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12929 | FL | Primary |
Addresses
Primary practice location
5840 Estes LN
Wesley Chapel, FL 33545-4329
Mailing address
5840 Estes LN
Wesley Chapel, FL 33545-4329
Phone (813) 695-5407
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015279800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12929 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501200000000",
"number": "1245672567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5840 ESTES LN",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335454329",
"telephone_number": "813-695-5407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5840 ESTES LN",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335454329",
"telephone_number": "813-695-5407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACKLER",
"first_name": "KELSEY",
"middle_name": "MCKAY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-28",
"last_updated": "2017-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "12929",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015279800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.