Kaneka D Hall, LCSW, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09929267 Issued in CO

Practice address

9137 E Mineral Cir Ste 110
Centennial, CO 80112-3422

Phone

(303) 953-9405

Fax

(303) 284-9624

NPI assigned

Mar 6, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Kaneka D Early Former name

Medicare fee-for-service enrollment

Enrolled in SC, CO, DC3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.83 of 100Reported as group

Quality

77.43

Improvement activities

40

Cost

70.81

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• CO HMO
• KY PPO
• CO HMO D-SNP
• TN PPO
• NM HMO C-SNP
• KY PPO C-SNP
• TN PPO C-SNP
• devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
• devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19189/brand/1/csg/1/fhir/r4

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.

• Deer Oaks West LLC

  • Clinical Psychologist
  • Littleton, CO
  • NPI 1316345291
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, CO, DC

  Medicare reassignment NPD
• Health Now Medical LLC

  • Family Medicine Physician
  • Cortez, CO
  • NPI 1841760691
  NPD

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1013258656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9137 E MINERAL CIR STE 110",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123422",
            "telephone_number": "303-953-9405",
            "fax_number": "303-284-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9137 E MINERAL CIR STE 110",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123422",
            "telephone_number": "303-953-9405",
            "fax_number": "303-284-9624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Cabarrus Ave E",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280253699",
            "country_code": "US",
            "telephone_number": "888-849-7379",
            "fax_number": "855-857-7333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "KANEKA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-06",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "11815",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008160",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010378",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09929267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KANEKA",
            "last_name": "EARLY",
            "middle_name": "D",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kevin Hales
• Virginia L Haley, O.T.R.
• Cynthia Hall, LCSW
• Gregory Hall, PHARM.D
• Heather Hall
• Taylor Hall, LPC
• Brandon V Halmaghi, D.D.S.
• Janis I Halzel, PHARM.D.
• Michaela Adelle Ham
• Ryan Hambley

• Clinical Social Worker in Centennial, CO
• Providers in Centennial, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.