Active NPI
Kelli Walker, LCSW
- Clinical Social Worker
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW8877
- Practice address
- 1961 NW 55TH Ter
Gainesville, FL 32605-3321 - Phone
- (352) 318-3608
- NPI assigned
- Sep 21, 2011
- Sex
- Female
- Sole proprietor
- No
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 | SW8877 | FL | Primary |
Addresses
Primary practice location
1961 NW 55TH Ter
Gainesville, FL 32605-3321
Mailing address
1961 NW 55TH Ter
Gainesville, FL 32605-3321
Phone (352) 318-3608
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7135 NW 11TH PL
Suite B
Gainesville, FL 32605-3160
Phone (800) 457-4573
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW8877 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cotler Healthcare & Development Inc. | Current | Accepting new patients | |
| Harmony United Florida, LLC | Current | Accepting new patients | |
| Florida Acupuncture and Counseling, Inc. | Mental Health | Current | Accepting new patients |
| Shine Medical Providers PC | Past | Accepting new patients |
Locations
2610 NW 43rd St
Ste 1A
Gainesville, FL 32606
Phone (352) 448-5836
7135 NW 11th Pl
Ste B
Gainesville, FL 32605
Phone (352) 333-4470
901 S 62nd Ave
Hollywood, FL 33023
Phone (954) 893-0109
9835 Lake Worth Rd
Ste 16179
Lake Worth, FL 33467
3235 SW 34th St
Ocala, FL 34474
Phone 3525059115 ext. 100
15544 W Colonial Dr
Winter Garden, FL 34787
Phone (352) 504-0340
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Winter Garden, FL
- NPI 1063842870
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wellington, FL
- NPI 1225075047
-
- Mental Health Counselor
- Gainesville, FL
- NPI 1952952756
-
- Psychiatry Physician
- Philadelphia, PA
- NPI 1538894050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745193600000",
"number": "1386927994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1961 NW 55TH TER",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326053321",
"telephone_number": "352-318-3608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1961 NW 55TH TER",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326053321",
"telephone_number": "352-318-3608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "KELLI",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-21",
"last_updated": "2025-04-21",
"certification_date": "2025-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW8877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.