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MS. KETTIA DUPERVAL LCSW
NPI 1164733895
Social Worker - Clinical in Miramar, FL

Active since June 28, 2010PECOS EnrolledAccepts Medicare Assignment
9730 GLACIER DR, MIRAMAR, FL 33025(954) 993-1646 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2026, Nov 7, 2022 (2 updates tracked since 2022).

About Ms. Kettia Duperval Lcsw NPPES

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

MS. KETTIA DUPERVAL LCSW (NPI 1164733895) is an individual clinical provider in Miramar, Florida, licensed in Florida (SW20578) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1164733895
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KETTIA DUPERVALCredential: LCSW
Location Address9730 GLACIER DRMiramar, FL 33025-4407
Mailing Address4737 N Ocean Dr # 1011Lauderdale By The Sea, FL 33308-2920 · (954) 993-1646
Phone(954) 993-1646
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 28, 2010
Last NPPES UpdateMarch 19, 20262 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
✔ NPI 1164733895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in FL · SW20578✔ Licensed in OR · L15870
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.
9730 GLACIER DR, Miramar, FL 33025
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11401 S Federal HwyFort Lauderdale, FL 33316-2619 · Phone (954) 728-1048
Location 211 SW 5th Ave, 3150portland, OR 97204-3604 · Phone (323) 205-7088 · Fax (833) 419-0181

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kettia Duperval Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991161010
PECOS Enrollment IDI20230516002002
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 33025 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 $58.56 – $179.05
Typical copayment $0.00 (range $14.64 – $44.76)
Most-billed visit code NA
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE KDC AGENCY
Social Worker (Clinical)
9730 GLACIER DR
MIRAMAR, FL 33025
Broward County (954) 993-1646

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 Kettia Duperval's NPI number?

The NPI number for Kettia Duperval is 1164733895. It was assigned to this individual provider in the NPPES registry on June 28, 2010.

Where is Kettia Duperval located?

Kettia Duperval practices at 9730 Glacier Dr, Miramar, FL 33025. The listed phone number is (954) 993-1646.

What is Kettia Duperval's specialty?

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

Is Kettia Duperval enrolled in Medicare?

Yes. Kettia Duperval is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kettia Duperval accept?

Health plans from Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Regence BlueCross BlueShield of Oregon and 1 other insurer list Kettia Duperval 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 Kettia Duperval was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.