Individual provider Active NPI

Laura Terese Kabatt-Kennedy, LCSW-C, LCSW, ACSW

  • Clinical Social Worker
  • Anchorage, AK
National Provider Identifier
1275732257
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16699 Issued in MD
Practice address
341 W Tudor Road, Suite 209
Anchorage, AK 99503-6648
Phone
(907) 331-0576
Fax
(800) 511-7484
NPI assigned
Jul 11, 2007
Last updated
Jun 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16699 MD Primary

Addresses

Primary practice location

341 W Tudor Road, Suite 209
Anchorage, AK 99503-6648

Mailing address

341 W Tudor Road Suite 209
Anchorage, AK 99503-6648
Phone (907) 331-0576

Other practice location 1

1201 N Muldoon Rd
Anchorage, AK 99504-6104
Phone (907) 258-4700

Other names 1

  • Ms. Laura Terese Kennedy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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

Enrollment IDStateProvider typePAC IDDetails
I20230614003630 AK Practitioner - Clinical Social Worker 2062879539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ge Family Services LLCGroup PAC ID 0244697712, 7 clinicians

Practice addresses (Care Compare)

341 W Tudor Rd
Suite 209
Anchorage, AK 99503-6648
Phone (907) 331-0576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16699MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ge Family Services LLC CurrentSince Nov 1, 2022 Accepting new patients

Locations

341 W Tudor Rd
Ste 209
Anchorage, AK 99503
Phone (855) 508-1075

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1275732257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 W TUDOR ROAD SUITE 209",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036648",
            "telephone_number": "907-331-0576",
            "fax_number": "800-511-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 W TUDOR ROAD, SUITE 209",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036648",
            "telephone_number": "907-331-0576",
            "fax_number": "800-511-7484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 N Muldoon Rd",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995046104",
            "country_code": "US",
            "telephone_number": "907-258-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KABATT-KENNEDY",
        "first_name": "LAURA",
        "middle_name": "TERESE",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C, LCSW, ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "KENNEDY",
            "middle_name": "TERESE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.