Individual provider Active NPI

Kiana Gadson, LCSW

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1376970491
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW16051 Issued in FL
Practice address
1211 Tech Blvd
Tampa, FL 33619-7846
Phone
(813) 708-7869
NPI assigned
Oct 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X SW16051 FL Primary

Addresses

Primary practice location

1211 Tech Blvd
Tampa, FL 33619-7846

Mailing address

11623 Warren Oaks PL
Riverview, FL 33578-0004
Phone (813) 708-7869

Other practice location 1

910 Oakfield Dr Ste 201A
Brandon, FL 33511-4925
Phone (813) 655-6367

Other practice location 2

1800 Mercy Dr
Suite 302
Orlando, FL 32808-5646
Phone (407) 875-3700

Other names 1

  • Kiana Mackie Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191121000658 FL Practitioner - Clinical Social Worker 7719319250 Reassigns benefits to 1 organization
I20220427000202 MA Practitioner - Clinical Social Worker 7719319250 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Care Center Inc Current Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Feb 15, 2023 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Apr 26, 2023 Accepting new patients
Healing Care Therapy Services, LLC CurrentSince Aug 25, 2024 Accepting new patients
Ultima Rehab-FL LLC CurrentSince Oct 21, 2019 Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Community Healthlink Inc CurrentSince Jan 19, 2022 Accepting new patients
Community Healthlink, Inc. CurrentSince Jan 19, 2022 Accepting new patients
Aspire Health Partners, Inc. Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

390 Pondella Rd
Ste 9
North Ft Myers, FL 33903
Phone (239) 652-0260

1211 Tech Blvd
Tampa, FL 33619
Phone (813) 521-9546

1211 Tech Blvd
Ste 114
Tampa, FL 33619
Phone (813) 549-7820

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

90 Canal St
Ste 4
Boston, MA 02114
Phone (617) 517-4889

40 Spruce St
#2
Leominster, MA 01453
Phone (978) 534-6116

72 Jaques Ave
Worcester, MA 01610
Phone (508) 860-1154

12 Queen St
Worcester, MA 01610
Phone (508) 860-1242

Interoperability endpoints

  • Direct secure messaging: kianagadson@tdh.allscriptsdirect.net

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1376970491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11623 WARREN OAKS PL",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335780004",
            "telephone_number": "813-708-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 TECH BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336197846",
            "telephone_number": "813-708-7869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 Oakfield Dr Ste 201A",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335114925",
            "country_code": "US",
            "telephone_number": "813-655-6367",
            "fax_number": "813-409-2915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Mercy Dr",
            "address_2": "Suite 302",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328085646",
            "country_code": "US",
            "telephone_number": "407-875-3700",
            "fax_number": "407-522-4671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GADSON",
        "first_name": "KIANA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIANA",
            "last_name": "MACKIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.