Active NPI
Helen-Katherine Vickers, LCSW
- Clinical Social Worker
- Eglin Afb, FL
National Provider Identifier
1710448725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904010927
- Practice address
- 96TH Medical Group
307 Boatner Road Suite
Eglin Afb, FL 32542 - Phone
- (850) 883-8600
- NPI assigned
- Mar 31, 2019
- 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 | 0904010927 | VA | Primary |
Addresses
Primary practice location
96TH Medical Group
307 Boatner Road Suite
Eglin Afb, FL 32542
Mailing address
96TH Medical Group
307 Boatner Road, Ste 114
Eglin Afb, FL 32542
Phone (850) 503-6833
Other names 1
- Kati Parks
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 |
|---|---|---|---|
| 0904010927 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1710448725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96TH MEDICAL GROUP",
"address_2": "307 BOATNER ROAD, STE 114",
"city": "EGLIN AFB",
"state": "FL",
"postal_code": "32542",
"telephone_number": "850-503-6833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96TH MEDICAL GROUP",
"address_2": "307 BOATNER ROAD SUITE",
"city": "EGLIN AFB",
"state": "FL",
"postal_code": "32542",
"telephone_number": "850-883-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICKERS",
"first_name": "HELEN-KATHERINE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-31",
"last_updated": "2025-06-24",
"certification_date": "2025-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904010927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATI",
"last_name": "PARKS",
"credential": "LCSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Eglin Afb, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.