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TYLER DOUGLAS KETTLEWELL MSW STUDENT
NPI 1669171005
Social Worker - Clinical in Gainesville, FL

Active since February 24, 2023
1601 SW ARCHER RD, GAINESVILLE, FL 32608(352) 376-1611 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2026, Feb 24, 2023 (2 updates tracked since 2023).

About Tyler Douglas Kettlewell Msw Student NPPES

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

TYLER DOUGLAS KETTLEWELL MSW STUDENT (NPI 1669171005) is an individual clinical provider in Gainesville, Florida and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1669171005
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTYLER DOUGLAS KETTLEWELLCredential: MSW STUDENT
Location Address1601 SW ARCHER RDGainesville, FL 32608-1135
Mailing Address1601 Sw Archer RdGainesville, FL 32608-1135
Phone(352) 376-1611
Sole ProprietorNo
Enumeration DateFebruary 24, 2023
Last NPPES UpdateFebruary 2, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
✔ NPI 1669171005 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.
1601 SW ARCHER RD, Gainesville, FL 32608
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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.

MS. CATHY JEANNE PRICE LCSW
Social Worker (Clinical)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Alachua County (352) 376-1611
JAKIRA L HARRIS LCSW
Social Worker (Clinical)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Alachua County (352) 376-1611
DR. SHEETAL PATEL MD
Internal Medicine (Gastroenterology)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Alachua County (800) 324-8387
THOMAS W BRADY LCSW
Social Worker (Clinical)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Alachua County (352) 293-6612
JUANA LOPEZ
Specialist/Technologist, Pathology (Histology)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Alachua County (352) 548-5207
DR. JOHN ROBERT EGBERTS PHARMD
Pharmacist (Pharmacotherapy)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Alachua County (352) 376-1611
STEVEN SCOTT RILEY D.M.D.
Dentist (General Practice)
1601 SW ARCHER RD, DENTAL SERVICE (160), V.A. MEDICAL CENTER
GAINESVILLE, FL 32608
Alachua County (352) 376-1611
DR. JUDITH BARLOW DEMONTMOLLIN PH.D.
Psychologist (Clinical)
1601 SW ARCHER RD, MALCOM RANDALL VAMC ;NF/SG VETERANS HEALTH SYSTEM
GAINESVILLE, FL 32608
Alachua County (352) 376-1711

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 Tyler Kettlewell's NPI number?

The NPI number for Tyler Kettlewell is 1669171005. It was assigned to this individual provider in the NPPES registry on February 24, 2023.

Where is Tyler Kettlewell located?

Tyler Kettlewell practices at 1601 SW Archer Rd, Gainesville, FL 32608. The listed phone number is (352) 376-1611.

What is Tyler Kettlewell'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 Tyler Kettlewell was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.