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

Kristen Sidwell, LCSW

Individual provider Clinical Social Worker · NPI 1922838846

Kristen Sidwell, LCSW is a Clinical Social Worker in Bradenton, Florida. Qualified in 2017, 9 years ago. Practices with Debra K Carter Ph D and Associates PA, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2024
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

4835 27th St W Ste 125
Bradenton, FL 34207-1759
Phone: (941) 753-0064
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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 SW-19285 (FL)

Record details

NPI number1922838846
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 5, 2024
Last updated in NPPESAugust 5, 2024
Certification dateAugust 4, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Debra K Carter Ph D And Associates Pa — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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