DEBRA KILLACKEY
NPI 1417223207
Social Worker in Fort Myers, FL

Q: What is Debra Killackey's NPI number?

The NPI number for Debra Killackey is 1417223207. It was assigned to this individual provider in the NPPES registry on March 27, 2012.

Q: What is Debra Killackey's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Debra Killackey was last updated on March 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since March 27, 2012PECOS Enrolled

9470 HEALTHPARK CIR, FORT MYERS, FL 33908(239) 433-8073(239) 482-7897 Get Directions Write a Review

NPPES record last updated: March 27, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Debra Killackey NPPES

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

DEBRA KILLACKEY (NPI 1417223207) is an individual social worker in Fort Myers, Florida, licensed in Florida (SW9555) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417223207

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameDEBRA KILLACKEY

Location Address9470 HEALTHPARK CIRFort Myers, FL 33908-3600

Mailing Address9470 Healthpark CirFort Myers, FL 33908-3600 · (239) 433-8073 · Fax (239) 482-7897

Phone(239) 433-8073

Fax(239) 482-7897

Sole ProprietorNo

Enumeration DateMarch 27, 2012

✔ NPI 1417223207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in FL · SW9555

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

9470 HEALTHPARK CIR, Fort Myers, FL 33908

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Debra Killackey 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.

Medicare Billing Reassignment

Medicare enrollment records show Debra Killackey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advanced Client Care LLC

114 mi

Mental Health

150 E PALMETTO PARK RD
Boca Raton, FL 33432

Reassigned Medicare billing, Florida enrollment
9 clinicians in this Medicare group

NPI 1245788181 (561) 779-0748

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

WUI CHIEN MD

Internal Medicine