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Khrystal Whitlock

Social Worker β€’ Jacksonville, FL

Active NPI 1831893890 Individual Practitioner Female Practitioner
Practice location in NPPES

6859 Gable Grove Ave
Jacksonville, FL 322173737

Call 9047320771 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6859 Gable Grove Ave

Jacksonville, FL 322173737

Telephone 9047320771

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Khrystal Whitlock as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jacksonville and Florida

296 active clinicians are listed under Social Worker with a practice address in Jacksonville, FL (5,486 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

0.3% of these 296 clinicians have the CMS telehealth indicator.

1.4% of these 296 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-11
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES FL SW23802

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.

Social Worker - School

NUCC Taxonomy Code: 1041S0200X

License # reported to NPPES FL SW23802
Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

License # reported to NPPES FL SW23802

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location June 11, 2026

Registered at 6859 GABLE GROVE AVE, JACKSONVILLE, FL 322173737 (Tel: 9047320771)

πŸ“
Updated Business Mailing Address June 11, 2026

Registered at 6859 GABLE GROVE AVE, JACKSONVILLE, FL 322173737 (Tel: 9047320771)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2026

Social Worker (license number reported to NPPES: FL SW23802)

βœ…
NPI Profile Active March 27, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 27, 2023

Registered at 1303 MULL ST, JACKSONVILLE, FL 322056814 (Tel: 9047320771)

πŸ“
Business Mailing Address (Initial Record) March 27, 2023

Registered at 1303 MULL ST, JACKSONVILLE, FL 322056814 (Tel: 9047320771)

πŸ‘€
Provider Name / Credentials (Initial Record) March 27, 2023

Recorded as KHRYSTAL WHITLOCK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2023

Social Worker

🟒
Initial NPI Registration & Enumeration March 27, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1831893890
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2023
Last Update: June 11, 2026
Sole Proprietor: No

Mailing Address

6859 Gable Grove Ave

Jacksonville, FL 322173737

Phone: 9047320771

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.