Active NPI
Barry J. Kahn, M.S.W.
- Clinical Social Worker
- Winchester, MA
National Provider Identifier
1346393469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 102918
- Practice address
- 611 Main St
Winchester, MA 01890-1900 - Phone
- (781) 729-2781
- NPI assigned
- Jan 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 102918 | MA | Primary |
Addresses
Primary practice location
611 Main St
Winchester, MA 01890-1900
Mailing address
7 Wilson St
Winchester, MA 01890-1417
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891456 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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 |
|---|---|---|---|---|
| I20050928000787 | MA | Practitioner - Clinical Social Worker | 1355376336 | Practice locations: Winchester, MA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346393469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 WILSON ST",
"city": "WINCHESTER",
"state": "MA",
"postal_code": "018901417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 MAIN ST",
"city": "WINCHESTER",
"state": "MA",
"postal_code": "018901900",
"telephone_number": "781-729-2781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHN",
"first_name": "BARRY",
"middle_name": "J.",
"credential": "M.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "102918",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891456",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.