Individual provider Active NPI

Janderon Loyd, LMSW-T

  • Social Worker
  • Fort Scott, KS
National Provider Identifier
1073286274
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
12200-T Issued in KS
Practice address
212 State St
Fort Scott, KS 66701-2031
Phone
(620) 223-5030
NPI assigned
Jul 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 12200-T KS Primary

Addresses

Primary practice location

212 State St
Fort Scott, KS 66701-2031

Mailing address

212 State St
Fort Scott, KS 66701-2031
Phone (620) 223-5030

Other names 1

  • Janderon Harrison Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.sekmhc.org/ Health Information Exchange (HIE) Southeast Kansas Mental Health Center

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12200-TKSMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1073286274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 STATE ST",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667012031",
            "telephone_number": "620-223-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 STATE ST",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667012031",
            "telephone_number": "620-223-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOYD",
        "first_name": "JANDERON",
        "credential": "LMSW-T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "12200-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.sekmhc.org/",
            "affiliation": "Y",
            "endpointDescription": "Practice website",
            "affiliationName": "Southeast Kansas Mental Health Center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "212 State St",
            "city": "Fort Scott",
            "state": "KS",
            "country_code": "US",
            "postal_code": "667012031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JANDERON",
            "last_name": "HARRISON",
            "credential": "LBSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Scott, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.