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

Tyler Douglas Kettlewell, MSWSTUDENT

Individual provider Clinical Social Worker · NPI 1669171005

Tyler Douglas Kettlewell, MSWSTUDENT is a Clinical Social Worker in Gainesville, Florida. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1601 SW Archer Rd
Gainesville, FL 32608-1135
Phone: (352) 376-1611
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1669171005
Entity typeIndividual (Type 1)
GenderMale
Credentials MSWSTUDENT
Sole proprietorNo
NPI enumeratedFebruary 24, 2023
Last updated in NPPESFebruary 2, 2026
Certification dateFebruary 2, 2026

Other providers in Gainesville