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

Mrs. Kimberly Stallings Sirdevan, LCSW

Individual provider Clinical Social Worker · NPI 1477854651

Mrs. Kimberly Stallings Sirdevan, LCSW is a Clinical Social Worker in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
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

6780 Patania Way
Jacksonville, FL 32216-5798
Phone: (904) 805-0850
Fax: (904) 805-9925
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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 SW9436 (FL)

Record details

NPI number1477854651
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 4, 2010
Last updated in NPPESNovember 4, 2010

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