KRISTEN SIDWELL (LCSW) – Clinical Social Worker, NPI 1922838846

KRISTEN SIDWELL (LCSW) is a healthcare provider. based in Nokomis, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. SW-19285 (FL). The NPI Number for KRISTEN SIDWELL (LCSW) is 1922838846

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN SIDWELL (LCSW)
NPI
1922838846
Phone
(660) 815-1728
Address
173 HOLLY BANK AVE
Enumeration Date
5 August 2024
Last Update Date
5 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9417530064
Graduation Year
2017 (9 years ago)
PAC ID
6204375249
Group Practice PAC ID
0547234379
Professional Enrollment ID
I20240822001339
Address ID
FL342071759BR4835XWXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,374 CLINICAL SOCIAL WORKER in FL

Provider Addresses for KRISTEN SIDWELL (LCSW)

  • 173 HOLLY BANK AVE

    NOKOMIS, FL 342753783

    Phone: (660) 815-1728

    Type: Mailing

  • 4835 27TH ST W STE 125

    BRADENTON, FL 342071759

    Phone: (941) 753-0064

    Type: Location

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: 2024-08-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240822001339IClinical Social WorkerFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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 34275)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547234379View full group profile
NameSpecialtyState
-FL
Clinical PsychologistFL
Clinical PsychologistFL
Clinical PsychologistFL
Clinical PsychologistFL
Clinical PsychologistFL
Clinical PsychologistNC
Clinical PsychologistTX
Clinical PsychologistFL
-FL

Reviews

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Frequently asked questions

How do I look up KRISTEN SIDWELL (LCSW) by NPI?
Use NPI 1922838846 when you need to reference KRISTEN SIDWELL (LCSW) in forms, claims, or directories.
Is KRISTEN SIDWELL (LCSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is KRISTEN SIDWELL (LCSW)?
The page reflects Clinical Social Worker for KRISTEN SIDWELL (LCSW). Clinical services aligned with this taxonomy classification.
Where does public data place KRISTEN SIDWELL (LCSW)?
The snapshot lists Nokomis, Florida for KRISTEN SIDWELL (LCSW); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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