Individual provider Active NPI

Linda A Kennedy-Hassel, L.C.S.W.

  • Clinical Social Worker
  • Wyomissing, PA
National Provider Identifier
1285694356
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015033 Issued in PA
Practice address
4 Park Plaza
Wyomissing, PA 19610-4014
Phone
(610) 743-0544
Fax
(866) 202-9017
NPI assigned
Mar 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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 CW0-15033 PA
Clinical Social Worker 1041C0700X CW015033 PA Primary

Addresses

Primary practice location

4 Park Plaza
Wyomissing, PA 19610-4014

Mailing address

231 Springmont Dr
Wyomissing, PA 19610-4014
Phone (610) 698-0990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210819002362 PA Practitioner - Clinical Social Worker 8022413616 Practice locations: Wyomissing, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4 Park PLZ
Wyomissing, PA 19610-1302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW0-15033PAMDClinical Social Worker
CW015033PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Counseling, Inc. Clinical Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1285694356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 SPRINGMONT DR",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196104014",
            "telephone_number": "610-698-0990",
            "fax_number": "866-202-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PARK PLAZA",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196104014",
            "telephone_number": "610-743-0544",
            "fax_number": "866-202-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY-HASSEL",
        "first_name": "LINDA",
        "middle_name": "A",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW0-15033",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.