Kyla Whipple, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW9976 Issued in FL

Practice address

333 Tamiami TRL S Ste 284
Venice, FL 34285-2441

Phone

(941) 363-1558

NPI assigned

May 5, 2015

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Known and Loved Counseling Center LLC

  • Clinical Social Worker
  • Venice, FL
  • NPI 1588290126
  NPD Authorized official
• Kin-Ship Services, Inc.

  • Foster Care Agency
  • Bradenton, FL
  • NPI 1831205814
  NPD (past)

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1255718649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 BOB O LINK DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342931338",
            "telephone_number": "941-685-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 TAMIAMI TRL S STE 284",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852441",
            "telephone_number": "941-363-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHIPPLE",
        "first_name": "KYLA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-05",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014827200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Well Rooted Counseling LLC
• Wellness and Mental Health Services, LLC
• Robert Weltig, RPH
• West Florida Termite and Pest Control, LLC
• Gavin Charles Whapshare, D.O.
• Patricia Ann Whitacre, RN BSN
• Denise J White, APRN
• David J Widmyer, D.O.
• Shannon Wilcken, PTA
• Nicole Wilcox, APRN

• Clinical Social Worker in Venice, FL
• Providers in Venice, 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, 2020; 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.