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KHRYSTAL WHITLOCK
NPI 1831893890
Social Worker in Jacksonville, FL

Active since March 27, 2023PECOS Enrolled
6859 GABLE GROVE AVE, JACKSONVILLE, FL 32217(904) 732-0771 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Khrystal Whitlock NPPES

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

KHRYSTAL WHITLOCK (NPI 1831893890) is an individual social worker in Jacksonville, Florida, licensed in Florida (SW23802) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1831893890
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKHRYSTAL WHITLOCK
Location Address6859 GABLE GROVE AVEJacksonville, FL 32217-3737
Mailing Address6859 Gable Grove AveJacksonville, FL 32217-3737 · (904) 732-0771
Phone(904) 732-0771
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 27, 2023
Last NPPES UpdateJune 11, 2026
NPPES CertifiedJune 11, 2026
✔ NPI 1831893890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in FL · SW23802
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.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License SW23802 (FL)
Also ListedSocial Worker · SchoolTaxonomy 1041S0200X · License SW23802 (FL)
6859 GABLE GROVE AVE, Jacksonville, FL 32217
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Cigna HealthCare of Florida, Inc. 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)

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

PECOS PAC ID7113487760
PECOS Enrollment IDI20260903000609
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 Khrystal Whitlock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Uplift Behavioral Health PC
654 mi
Adult Mental Health
4800 HAMPDEN LN STE 200B
Bethesda, MD 20814
  • Reassigned Medicare billing, Florida enrollment
  • 81 clinicians in this Medicare group
NPI 1629740410 (202) 932-7607

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

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 Khrystal Whitlock's NPI number?

The NPI number for Khrystal Whitlock is 1831893890. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Khrystal Whitlock located?

Khrystal Whitlock practices at 6859 Gable Grove Ave, Jacksonville, FL 32217. The listed phone number is (904) 732-0771.

What is Khrystal Whitlock's specialty?

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

Is Khrystal Whitlock enrolled in Medicare?

Yes. Khrystal Whitlock is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Khrystal Whitlock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khrystal Whitlock reassigns Medicare benefits to Uplift Behavioral Health PC (Bethesda, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Khrystal Whitlock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Khrystal Whitlock accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Khrystal Whitlock 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 Khrystal Whitlock was last updated on June 11, 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.