Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly A Lavista, LCSW

Individual provider Clinical Social Worker · NPI 1871178848

Kelly A Lavista, LCSW is a Clinical Social Worker in Jacksonville, Florida. Licensed in Florida and New York. Registered with an NPI since 2021.

Licensed in
FL, NY
In the registry since
2021
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW18306 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 090505 (NY)

Record details

NPI number1871178848
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 11, 2021
Last updated in NPPESAugust 11, 2021
Certification dateAugust 11, 2021

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