Organization Active NPI

Laura Kinney LLC

  • Clinical Social Worker
  • Council Bluffs, IA
National Provider Identifier
1275287773
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LAURA KINNEY LLC
Practice address
136 S Main St
Council Bluffs, IA 51503-9037
Phone
(712) 458-6201
Fax
(402) 702-2547
NPI assigned
Feb 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Authorized official

Name
Laura Kinney, LISW
Title
Owner
Phone
(402) 880-1683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

136 S Main St
Council Bluffs, IA 51503-9037

Mailing address

136 S Main St
Council Bluffs, IA 51503-9037
Phone (712) 458-6201

National Provider Directory

National Provider Directory

Locations

136 S Main St
Council Bluffs, IA 51503
Phone (712) 458-6201

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1275287773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 S MAIN ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515039037",
            "telephone_number": "712-458-6201",
            "fax_number": "402-702-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 S MAIN ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515039037",
            "telephone_number": "712-458-6201",
            "fax_number": "402-702-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA KINNEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "KINNEY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-880-1683",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.