Individual provider · Type 1 NPI

Kylie Carlson

Clinical Social Worker · Fort Myers, FL

NPI number 1124776703 Active

Practice location

4141 Bellasol Cir
Fort Myers, FL 33916-7318

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW24882 (FL)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1124776703

Kylie Carlson's National Provider Identifier is 1124776703, issued on Mar 14, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Myers, FL. The record was last updated on Aug 12, 2025.