Kelly Christina Hall, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW22150 Issued in FL

Practice address

109 N Oakwood Ave Ste 105
Brandon, FL 33510-4629

Phone

(813) 819-8704

NPI assigned

Jul 3, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL, MA, MO3 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 3

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emerald Clover, LLCGroup PAC ID 5496290033, 14 clinicians

Tranquility Wellness Group LLCGroup PAC ID 1759746423, 4 clinicians

Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Emerald Clover, LLC

  dba Ellie Mental Health - St. Petersburg

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St Petersburg, FL
  • NPI 1972218055
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, MA, MO

  Medicare reassignment Care Compare group NPD
• Tranquility Wellness Group, LLC

  dba Ellie Mental Health

  • Clinical Social Worker
  • Brandon, FL
  • NPI 1003522723
  Medicare reassignment Care Compare group NPD
• Behavioral Health Response, Inc

  • Counselor
  • Saint Louis, MO
  • NPI 1023546967
  NPD (past)

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1851953350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 E CHELSEA ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336107743",
            "telephone_number": "706-495-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N OAKWOOD AVE STE 105",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104629",
            "telephone_number": "813-819-8704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2618 E Chelsea St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336107743",
            "country_code": "US",
            "telephone_number": "706-495-5263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "KELLY",
        "middle_name": "CHRISTINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2017038781",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW127874",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "197512",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khall@elliementalhealth.com",
            "affiliation": "N",
            "endpointDescription": "Ellie email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "109 N Oakwood Ave Ste 105",
            "city": "Brandon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335104629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andre Halabu, MD
• Chavonne L Hale
• Jeremy Hale, DO
• Jordan Ilan Halevy, MD
• Klarissa Hall-Taylor
• Meredith Hall
• Starr Hall, MA
• Wynton L Hall Jr., M.D.,F.A.C.S.
• Michelle Lee Halliday
• Erica Halsey

• Clinical Social Worker in Brandon, FL
• Providers in Brandon, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.