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KALLYN RICHARDSON
NPI 1003514936
Social Worker - Clinical in Jacksonville, FL

Active since February 20, 2023PECOS Enrolled
11478 HARLAN DR, JACKSONVILLE, FL 32218(734) 834-0459 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kallyn Richardson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KALLYN RICHARDSON (NPI 1003514936) is an individual clinical provider in Jacksonville, Florida, licensed in Florida (SW20839) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003514936
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKALLYN RICHARDSON
Location Address11478 HARLAN DRJacksonville, FL 32218-4052
Mailing Address11478 Harlan DrJacksonville, FL 32218-4052
Phone(734) 834-0459
Sole ProprietorNo
Enumeration DateFebruary 20, 2023
NPPES CertifiedFebruary 20, 2023
✔ NPI 1003514936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · SW20839
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
11478 HARLAN DR, Jacksonville, FL 32218
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kallyn Richardson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32218 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kallyn Richardson's NPI number?

The NPI number for Kallyn Richardson is 1003514936. It was assigned to this individual provider in the NPPES registry on February 20, 2023.

Where is Kallyn Richardson located?

Kallyn Richardson practices at 11478 Harlan Dr, Jacksonville, FL 32218. The listed phone number is (734) 834-0459.

What is Kallyn Richardson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kallyn Richardson enrolled in Medicare?

Yes. Kallyn Richardson is registered in the Medicare PECOS enrollment system.

What insurance does Kallyn Richardson accept?

Health plans from Molina Healthcare list Kallyn Richardson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kallyn Richardson was last updated on February 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.