1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Social Worker
  6. NPI Profile

KAITLYN PETTYJOHN LCSW
NPI 1912739269
Social Worker - Clinical in Jacksonville, FL

Active since August 15, 2024PECOS Enrolled
1126 ARCARO CT, JACKSONVILLE, FL 32218(904) 591-0150 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kaitlyn Pettyjohn Lcsw NPPES

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

KAITLYN PETTYJOHN LCSW (NPI 1912739269) is an individual clinical provider in Jacksonville, Florida, licensed in Florida (SW19982) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1912739269
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKAITLYN PETTYJOHNCredential: LCSW
Location Address1126 ARCARO CTJacksonville, FL 32218-1758
Mailing Address1126 Arcaro CtJacksonville, FL 32218-1758 · (904) 591-0150
Phone(904) 591-0150
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 15, 2024
NPPES CertifiedAugust 15, 2024
✔ NPI 1912739269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · SW19982
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.
1126 ARCARO CT, Jacksonville, FL 32218
Open in Google Maps ↗

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)

Kaitlyn Pettyjohn Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315414901
PECOS Enrollment IDI20260501000355
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 Kaitlyn Pettyjohn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
335 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida enrollment
  • 3,079 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32218 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 $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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 Kaitlyn Pettyjohn's NPI number?

The NPI number for Kaitlyn Pettyjohn is 1912739269. It was assigned to this individual provider in the NPPES registry on August 15, 2024.

Where is Kaitlyn Pettyjohn located?

Kaitlyn Pettyjohn practices at 1126 Arcaro Ct, Jacksonville, FL 32218. The listed phone number is (904) 591-0150.

What is Kaitlyn Pettyjohn's specialty?

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

Is Kaitlyn Pettyjohn enrolled in Medicare?

Yes. Kaitlyn Pettyjohn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kaitlyn Pettyjohn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlyn Pettyjohn reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Kaitlyn Pettyjohn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaitlyn Pettyjohn accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 2 other insurers list Kaitlyn Pettyjohn 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 Kaitlyn Pettyjohn was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.