Individual provider Active NPI

Renee F Kincaid, LICSW

  • Clinical Social Worker
  • Spokane, WA
National Provider Identifier
1285396648
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61446568 Issued in WA
Practice address
5312 West Ridgecrest Drive
Spokane, WA 99208-8903
Phone
(509) 710-5726
NPI assigned
Oct 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SC61086076 WA
Clinical Social Worker 1041C0700X LW61446568 WA Primary

Addresses

Primary practice location

5312 West Ridgecrest Drive
Spokane, WA 99208-8903

Mailing address

5312 W Ridgecrest Dr
Spokane, WA 99208-8903
Phone (509) 710-5726

Other practice location 1

316 W Boone Ave
Spokane, WA 99201-2354
Phone (509) 710-5726

Other identifiers 1

IdentifierTypeStateIssuer
2220199MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20231113002182 WA Practitioner - Clinical Social Worker 8628425683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5312 W Ridgecrest Dr
Spokane, WA 99208-8903
Phone (509) 710-5726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC61086076WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Life Counseling PLLC Clinical CurrentSince Oct 1, 2023 Accepting new patients

Locations

316 W Boone Ave
Ste 850
Spokane, WA 99201
Phone (407) 751-0025

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.

NPI Registry JSON

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1285396648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5312 W RIDGECREST DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992088903",
            "telephone_number": "509-710-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5312 WEST RIDGECREST DRIVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992088903",
            "telephone_number": "509-710-5726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 W Boone Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992012354",
            "country_code": "US",
            "telephone_number": "509-710-5726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINCAID",
        "first_name": "RENEE",
        "middle_name": "F",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61086076",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61446568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2220199",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.