IndividualActive
Kettia Duperval, LCSW
NPI 1164733895 · Clinical Social Worker · Miramar, FL
Provider details
- NPI number
- 1164733895
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- SW20578 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(92/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9730 Glacier Dr
Miramar, FL 33025-4407
Phone: (954) 993-1646
Street-level locationGet directions
Mailing address
4737 N Ocean Dr # 1011
Lauderdale By the Sea, FL 33308-2920
Additional practice locations (2)
- 1401 S Federal HwyFort Lauderdale, FL 33316-2619Phone: (954) 728-1048
- 11 Sw 5th Ave3150Portland, OR 97204-3604Phone: (323) 205-7088Fax: (833) 419-0181
Registry dates
- Enumerated
- 2010-06-28
- Last updated
- 2026-03-19
- Certified
- 2026-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.