Individual provider Active NPI

Kurt Wilhelm Oster, LBS, LCSW, QS

  • Clinical Social Worker
  • Jacksonville, FL
National Provider Identifier
1558697383
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW19880 Issued in FL
Practice address
7511 Leroy Dr
Jacksonville, FL 32244-1626
Phone
(904) 290-4601
NPI assigned
Oct 29, 2009
Reactivated
Aug 24, 2020
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW19880 FL Primary
Clinical Social Worker 1041C0700X 5380C AL
Clinical Social Worker 1041C0700X CW024568 PA
Behavior Analyst 103K00000X BH005716 PA

Addresses

Primary practice location

7511 Leroy Dr
Jacksonville, FL 32244-1626

Mailing address

7511 Leroy Dr
Jacksonville, FL 32244-1626
Phone (904) 290-4601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MN2 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
I20211022000029 FL Practitioner - Clinical Social Worker 4183012297 Reassigns benefits to 1 organization
I20250407003610 MN Practitioner - Clinical Social Worker 4183012297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Jacksonville, FL 32244
Phone (904) 290-4601

7511 Leroy Dr
Jacksonville, FL 32244-1626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BH005716PAMDBehavioral Analyst
5380CALMDClinical Social Worker
SW19880FLMDClinical Social Worker
34036MNMDClinical Social Worker
CW024568PAMDClinical Social Worker

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1558697383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7511 LEROY DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322441626",
            "telephone_number": "904-290-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7511 LEROY DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322441626",
            "telephone_number": "904-290-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTER",
        "first_name": "KURT",
        "middle_name": "WILHELM",
        "name_prefix": "Mr.",
        "credential": "LBS, LCSW, QS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "deactivation_date": "2018-09-27",
        "reactivation_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19880",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "5380C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW024568",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH005716",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.