Kelly J Myers, LCSW
Individual provider Active NPI Clinical Social Worker · Melbourne Beach, FL
NPI 1356830343 · NPPES record last updated May 4, 2018
Key facts
- NPI
- 1356830343
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW15060 (FL)
- Practice address
- 1706 Atlantic St Apt 3B
Melbourne Beach, FL 32951-2342 - Phone
- (321) 339-6757
- NPI assigned
- May 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW15060 | FL | Yes |
Addresses
Primary practice location
1706 Atlantic St Apt 3B
Melbourne Beach, FL 32951-2342
Mailing address
1706 Atlantic St Apt 3B
Melbourne Beach, FL 32951-2342
Phone (321) 339-6757
Other providers in Melbourne Beach, FL
- Melissa Mefford
- Melbourne Beach Physical Therapy, LLC
- Mindful Living Counseling and Wellness LLC
- Roger Montz
- James Moore
- Michael Namba
- Michael Vanhouton Niemi
- Nigel Schultz DMD PA
- Randall Walters O'Neill Jr.
- Palmetto Anesthesia, PA
All providers in Melbourne Beach, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.