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KAM VIRTUAL
NPI 1205445327
Social Worker - Clinical in Jacksonville, FL

Active since July 24, 2020
11266 LAKE MANDARIN CIR E, JACKSONVILLE, FL 32223(904) 705-6130 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2022, Jul 24, 2020 (2 updates tracked since 2020).

About Kam Virtual NPPES

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

KAM VIRTUAL (NPI 1205445327) is a healthcare organization registered as a clinical in Jacksonville, Florida and active in the NPI registry since July 2020. The organization lists Kelly Ann Minor, President, as its authorized official.

NPPES Registry Identity

NPI1205445327
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameKAM VIRTUAL THERAPEUTIC SERVICES INC
Location Address11266 LAKE MANDARIN CIR EJacksonville, FL 32223-7811
Mailing Address7643 Gate Pkwy Ste 104-941Jacksonville, FL 32256-2893 · (904) 720-2090 · Fax (904) 490-9998
Phone(904) 705-6130
Organization SubpartNo
Authorized OfficialKelly Ann MinorPresident · (904) 720-2090
Enumeration DateJuly 24, 2020
Last NPPES UpdateMarch 16, 20222 updates tracked since enumeration
NPPES CertifiedMarch 16, 2022
✔ NPI 1205445327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
11266 LAKE MANDARIN CIR E, Jacksonville, FL 32223
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Other Names 1

Doing Business AsKam Virtual

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MS. KELLY MINOR LCSW
Social Worker (Clinical)
11266 LAKE MANDARIN CIR E
JACKSONVILLE, FL 32223
Duval County (904) 705-6130

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 Kam Virtual Therapeutic Services Inc's NPI number?

The NPI number for Kam Virtual Therapeutic Services Inc is 1205445327. It was assigned to this organization in the NPPES registry on July 24, 2020. The provider is doing business as Kam Virtual.

Where is Kam Virtual Therapeutic Services Inc located?

Kam Virtual Therapeutic Services Inc is located at 11266 Lake Mandarin Cir E, Jacksonville, FL 32223. The listed phone number is (904) 705-6130.

What is Kam Virtual Therapeutic Services Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Kam Virtual Therapeutic Services Inc was last updated on March 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.