Active NPI
Linda A Kennedy-Hassel, L.C.S.W.
- Clinical Social Worker
- Wyomissing, PA
National Provider Identifier
1285694356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW015033
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CW0-15033 | PA | MD | Clinical Social Worker |
| CW015033 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba FairView Counseling and The Play Therapy Center
- Mental Health Counselor
- Reading, PA
- NPI 1063441962
Clinical
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.