MRS. DEBORAH LYNN KERN (LCSW) – Clinical Social Worker, NPI 1043539711
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,374 CLINICAL SOCIAL WORKER in FL
Provider Addresses for MRS. DEBORAH LYNN KERN (LCSW)
199 JONES AVE
NICEVILLE, FL 32578
Phone: (850) 496-2677
Type: Location
44 MAGNOLIA AVE
SHALIMAR, FL 325791110
Phone: (850) 496-2677
Type: Mailing
4800 N SCOTTSDALE RD STE 2500
SCOTTSDALE, AZ 852517630
Phone:
Type: Mailing
2458 OLD DORSETT RD STE 110
MARYLAND HEIGHTS, MO 630432423
Phone: (636) 939-2550
Fax: (636) 939-2551
Type: Location
56 SHALIMAR DR
SHALIMAR, FL 325791223
Phone: (850) 496-2677
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-02-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230915002889 | I | Clinical Social Worker | FL | TBD |
| I20260211000894 | I | Clinical Social Worker | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32578)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | MI | |
| Nurse Practitioner | OH | |
| - | OH | |
| - | IN | |
| - | KS | |
| Clinical Social Worker | FL | |
| P S Y C H I A T R Y | OH | |
| Mental Health Counselor | OH | |
| Mental Health Counselor | OH | |
| - | OH |
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