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

Kelsey L Timko, LCSW

Individual provider Clinical Social Worker · NPI 1801561188

Kelsey L Timko, LCSW is a Clinical Social Worker in Jacksonville, Florida. Qualified in 2020, 6 years ago. Practices with Raul J Rodriguez Mdpa, a 20-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2021
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

12443 San Jose Blvd Ste 604
Jacksonville, FL 32223-8652
Phone: (561) 266-8866
Fax: (561) 404-4735
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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 ISW14759 (FL)

Record details

NPI number1801561188
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 10, 2021
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Raul J Rodriguez Mdpa — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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