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

Kristi Gannon

Individual provider Clinical Social Worker · NPI 1952867111

Kristi Gannon is a Clinical Social Worker in Fort Lauderdale, Florida. Qualified in 2016, 10 years ago. Practices with Thrive Counseling LLC, a 1,188-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
10
Licensed in
VA
In the registry since
2019
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Practice location Address checks out

2425 E Commercial Blvd Ste 405
Fort Lauderdale, FL 33308-4029
Phone: (855) 284-7483
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 15784 Nw 12th Ct, Pembroke Pines, FL 33028-1614 — (855) 284-7483
  • 6076 Franconia Rd Ste D, Alexandria, VA 22310-1768 — (703) 828-9054

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0904010874 (VA)

Record details

NPI number1952867111
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 13, 2019
Last updated in NPPESNovember 4, 2021
Certification dateNovember 4, 2021

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 Thrive Counseling Llc — 1188 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fort Lauderdale