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

Kelsie Villa

Individual provider Clinical Social Worker · NPI 1942165154

Kelsie Villa is a Clinical Social Worker in Waco, Texas. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Texas.

Years since qualifying
4
Licensed in
TX
In the registry since
2025
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Practice location Address checks out

110 S 12th St
Waco, TX 76701-1810
Phone: (254) 652-6922
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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 111917 (TX)

Record details

NPI number1942165154
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 19, 2025
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025
Mailing addressPo Box 890, Waco, TX 76703-0890

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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