Individual provider Active NPI

Kasi Oxendine, LCSW

  • Clinical Social Worker
  • Clinton, IN
National Provider Identifier
1013565795
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34008602A Issued in IN
Practice address
777 S Main St Ste 100
Clinton, IN 47842-2493
Phone
(765) 828-1003
NPI assigned
Aug 27, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34008602AINMDClinical Social Worker

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34008602A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

777 S Main St Ste 100
Clinton, IN 47842-2493

Mailing address

1136 Maple Ave
Terre Haute, IN 47804-2939

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 27, 2019.

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1013565795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 MAPLE AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478042939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S MAIN ST STE 100",
            "city": "CLINTON",
            "state": "IN",
            "postal_code": "478422493",
            "telephone_number": "765-828-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OXENDINE",
        "first_name": "KASI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008602A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.