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

Kelly Christina Hall, LCSW

Individual provider Clinical Social Worker · NPI 1851953350

Kelly Christina Hall, LCSW is a Clinical Social Worker in Brandon, Florida. Qualified in 2016, 10 years ago. Practices with Emerald Clover, LLC, a 14-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alaska, Florida, Massachusetts and Missouri.

Years since qualifying
10
Licensed in
AK, FL, MA, MO
In the registry since
2019
Specialties on file
4
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

109 N Oakwood Ave Ste 105
Brandon, FL 33510-4629
Phone: (813) 819-8704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2618 E Chelsea St, Tampa, FL 33610-7743 — (706) 495-5263

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW22150 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2017038781 (MO)
Clinical Social Worker Taxonomy 1041C0700X · Licence LICSW127874 (MA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 197512 (AK)

Record details

NPI number1851953350
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 3, 2019
Last updated in NPPESOctober 31, 2025
Certification dateOctober 31, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Emerald Clover, Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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