Active NPI
Paul Wyant Kahn, LCSW
- Clinical Social Worker
- Savannah, GA
National Provider Identifier
1194022293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW007658
- Practice address
- 18 E 61St St
Savannah, GA 31405-4116 - Phone
- (201) 616-9263
- Fax
- (315) 750-3205
- NPI assigned
- Feb 25, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-17112 | AZ | |
| Clinical Social Worker | 1041C0700X | R079976 | NY | |
| Clinical Social Worker | 1041C0700X | CSW007658 | GA | Primary |
Addresses
Primary practice location
18 E 61St St
Savannah, GA 31405-4116
Mailing address
18 E 61St St
Savannah, GA 31405-4116
Phone (201) 616-9263
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03954414 | Medicaid | NY | |
| A300160109 | Other | NY | MEDICARE ID |
| P02642655 | Other | GA | RAILROAD MEDICARE |
| Q133960281 | Other | GA | MEDICARE |
| Z216197 | Other | AZ | MEDICARE ID |
| 451183 | Medicaid | AZ | |
| Z216197 | Other | AZ | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210415000022 | GA | Practitioner - Clinical Social Worker | 1658311279 | Practice locations: Savannah, GA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
18 E 61St St
Savannah, GA 31405-4116
Phone (201) 616-9263
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW007658 | GA | MD | Clinical Social Worker |
| R079976 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Living Process Counseling Services Co | Clinical | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Savannah, GA
- NPI 1124787627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646784000000",
"number": "1194022293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 E 61ST ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314054116",
"telephone_number": "201-616-9263",
"fax_number": "315-750-3205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 E 61ST ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314054116",
"telephone_number": "201-616-9263",
"fax_number": "315-750-3205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHN",
"first_name": "PAUL",
"middle_name": "WYANT",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-25",
"last_updated": "2022-03-09",
"certification_date": "2022-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-17112",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R079976",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW007658",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03954414",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "A300160109",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P02642655",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "Q133960281",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "Z216197",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "451183",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "Z216197",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.