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

Individual provider Mental Health Counselor · NPI 1649755042

Kelly Johnanna Riascos, MSWLCSW is a Mental Health Counselor in Orlando, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

1878 Island Walk Dr
Orlando, FL 32824-4704
Phone: (407) 232-0995
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 225 S Swoope Ave Ste 211, Maitland, FL 32751-5786 — (407) 622-0444

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Mental Health Counselor Taxonomy 101YM0800X · Licence SW22806 (FL)

Record details

NPI number1649755042
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSWLCSW
Sole proprietorYes
NPI enumeratedOctober 2, 2018
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024

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