Active NPI
Janderon Loyd, LMSW-T
- Social Worker
- Fort Scott, KS
National Provider Identifier
1073286274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 12200-T
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12200-T | KS | MD | Social 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.