Active NPI
Taylor Kilpatrick
- Clinical Social Worker
- Melbourne, FL
National Provider Identifier
1619831229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW22855
- Practice address
- 3270 Suntree Blvd Ste 103a
Melbourne, FL 32940-7540 - Phone
- (321) 757-4015
- NPI assigned
- Dec 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | ISW22855 | FL | Primary |
Addresses
Primary practice location
3270 Suntree Blvd Ste 103a
Melbourne, FL 32940-7540
Mailing address
656 Emerald Lake Dr
Cocoa, FL 32926-4674
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW22855 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Wellness and Life Coaching Center LLC | Current | Accepting new patients |
Locations
3270 Suntree Blvd
Ste 103A
Melbourne, FL 32940
Phone (321) 757-4015
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Melbourne, FL
- NPI 1962191270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1619831229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "656 EMERALD LAKE DR",
"city": "COCOA",
"state": "FL",
"postal_code": "329264674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3270 SUNTREE BLVD STE 103A",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329407540",
"telephone_number": "321-757-4015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILPATRICK",
"first_name": "TAYLOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-10",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "ISW22855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.