Kristina Jeffries Talbot, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW10005 Issued in FL

Practice address

856 Orange Blossom Dr
Melbourne, FL 32935-6951

Phone

(321) 431-9334

NPI assigned

Aug 3, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Arise Mental Health Consulting Services

  • Clinical Social Worker
  • Melbourne, FL
  • NPI 1073232740

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1861770109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 ORANGE BLOSSOM DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329356951",
            "telephone_number": "321-431-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 ORANGE BLOSSOM DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329356951",
            "telephone_number": "321-431-9334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 W Eau Gallie Blvd",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329355390",
            "country_code": "US",
            "telephone_number": "321-421-6992 x105",
            "fax_number": "321-421-6993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALBOT",
        "first_name": "KRISTINA",
        "middle_name": "JEFFRIES",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-03",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "ADC-803582",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003938900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guirguiss Tadros, MD
• Nicole F Taft, PA-C
• Taking Flight Pediatric Speech & Language Therapy, LLC
• Talbert General Surgery LLC
• Mark Shane Talbert, MD
• Stephanie L Talbot, PA-C
• Talkin' With Purpose, LLC
• Marissa Talley, RDH
• Sarah Helene Tamburri
• Holly Tanner, PT

• Clinical Social Worker in Melbourne, FL
• Providers in Melbourne, 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 Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.