Active NPI
Jennifer Kane
- Social Worker
- Grand Forks, ND
National Provider Identifier
1326379082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 3965
- Practice address
- 1726 S Washington St
Suite 33a
Grand Forks, ND 58201-6370 - Phone
- (701) 746-7584
- Fax
- (701) 746-1239
- NPI assigned
- Jan 20, 2010
- Last updated
- Jan 20, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 3965 | ND | Primary |
| Social Worker | 104100000X | 15556 | MN |
Addresses
Primary practice location
1726 S Washington St
Suite 33a
Grand Forks, ND 58201-6370
Mailing address
1201 25TH St S
PO Box 9859
Fargo, ND 58103-2311
Phone (701) 746-4584
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3965 | ND | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Family Service Center | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Village Family Service Center
- Substance Abuse Rehabilitation Facility
- Fargo, ND
- NPI 1952679318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263945600000",
"number": "1326379082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 25TH ST S",
"address_2": "PO BOX 9859",
"city": "FARGO",
"state": "ND",
"postal_code": "581032311",
"telephone_number": "701-746-4584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1726 S WASHINGTON ST",
"address_2": "SUITE 33A",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582016370",
"telephone_number": "701-746-7584",
"fax_number": "701-746-1239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANE",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-20",
"last_updated": "2010-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ND",
"license": "3965",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "15556",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.