Jennifer E Kitchens

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1401 S Federal Hwy
Fort Lauderdale, FL 33316-2619

Phone

(954) 728-1057

Fax

(954) 779-2316

NPI assigned

Feb 9, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tykes & Teens, Inc

  • Case Management Agency
  • Stuart, FL
  • NPI 1417624511
  NPD
• Tykes & Teens, Inc.

  • Community/Behavioral Health Agency
  • Stuart, FL
  • NPI 1093710303
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1013058502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SE OCEAN BLVD STE 340",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943502",
            "telephone_number": "772-220-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162619",
            "telephone_number": "954-728-1057",
            "fax_number": "954-779-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHENS",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "762710600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiskeya Investment Group LLC
• Kiskeya Investment Group LLC
• Kisslee, LLC
• Doan Kistner, RPT
• Doris Kitchen, SW
• Dawn Kladis
• Kurt C Klein, P.T.
• Paul Klein, O.D.
• Rosemene Klein
• Kevin Kleinberg, BCBA, LBA

• Social Worker in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.