Individual provider Active NPI

Kaylee Shea Munoz, LCSW

  • Clinical Social Worker
  • Tavares, FL
National Provider Identifier
1831738228
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22325 Issued in FL
Practice address
3596 Umbrella CT
Tavares, FL 32778-6203
Phone
(405) 659-1180
NPI assigned
Jan 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 22325 FL Primary

Addresses

Primary practice location

3596 Umbrella CT
Tavares, FL 32778-6203

Mailing address

3596 Umbrella CT
Tavares, FL 32778-6203
Phone (405) 659-1180

Other practice location 1

385 Centerpointe Cir
Altamonte Spg, FL 32701-3443
Phone (407) 789-2673

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250617003051 FL Practitioner - Clinical Social Worker 3375054240 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22325FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Jun 13, 2025 Accepting new patients
A Core Connection Services and Consulting, LLC Past Accepting new patients

Locations

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

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": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1831738228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3596 UMBRELLA CT",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327786203",
            "telephone_number": "405-659-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3596 UMBRELLA CT",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327786203",
            "telephone_number": "405-659-1180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "385 Centerpointe Cir",
            "address_purpose": "LOCATION",
            "city": "Altamonte Spg",
            "state": "FL",
            "postal_code": "327013443",
            "country_code": "US",
            "telephone_number": "407-789-2673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "KAYLEE",
        "middle_name": "SHEA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "22325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavares, FL

Sources for this page

Verify at the official NPI Registry.