Kenneth Ward Dabney III

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

CDCA.192063 Issued in OH

Practice address

14445 Broadway Ave
Cleveland, OH 44125-1957

Phone

(216) 677-8177

NPI assigned

Feb 26, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Mr. Kenneth Ward Dabney III Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Legend Treatment Center of Cleveland, LLC

  • Community/Behavioral Health Agency
  • Cleveland, OH
  • NPI 1477342962
  NPD
• Legend Treatment Center of Cleveland, LLC

  • Substance Abuse Rehabilitation Facility
  • Cleveland, OH
  • NPI 1720714561
  NPD

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1063219186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14445 BROADWAY AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441251957",
            "telephone_number": "216-677-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14445 BROADWAY AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441251957",
            "telephone_number": "216-677-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABNEY",
        "first_name": "KENNETH",
        "middle_name": "WARD",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.005812",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "CDCA.192063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENNETH",
            "last_name": "DABNEY",
            "middle_name": "WARD",
            "prefix": "MR.",
            "suffix": "III",
            "credential": "PRS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Paige Lynn Dabernig, RN
• Alyssa A Dabkowski, M'ED
• Ayden Tyree Dabney
• Camellia Dabney
• Gabriel Dabney, QMHS
• Mark Dabney
• Michelle M. Dabney, LSW
• Rayonna Dabney, RBT
• Rosa Dabney
• Catherine V. Dabramo, MD

• Case Manager/Care Coordinator in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.