Kenneth Raymond Traen, M.S.W., L.I.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15585 Issued in MN

Practice address

2050 Saint Clair Ave
Suite 1E
Saint Paul, MN 55105-1650

Phone

(612) 414-2533

NPI assigned

Nov 15, 2006

Last updated

Aug 30, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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 1

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Charting Your Success LLC

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1457602781
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1134291024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1976 MONTREAL AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162009",
            "telephone_number": "612-414-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 SAINT CLAIR AVE",
            "address_2": "SUITE 1E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551051650",
            "telephone_number": "612-414-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAEN",
        "first_name": "KENNETH",
        "middle_name": "RAYMOND",
        "credential": "M.S.W., L.I.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "15585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Navell Annette Townley
• James C Towns Jr., MSW, LICSW
• Daniel John Townsend, D.O.
• Traditional Roots Healthcare
• Traditional Roots Healthcare
• Nicole Lee Tramm, LAMFT
• Allen Duy Tran, D.C.
• Anthony B Tran, PHARM D RPH
• Christine Wei-Yin Tran, M.D.
• Gretchen Tran

• Clinical Social Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.