Individual provider Active NPI

Kathy Lee Kent, M.S.W.

  • Clinical Social Worker
  • Springfield, IL
National Provider Identifier
1376526798
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.023504 Issued in IL
Practice address
319 E Madison St Ste 2M
Springfield, IL 62701-3122
Phone
(217) 900-0040
Fax
(217) 331-1991
NPI assigned
Nov 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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 1140174 MA
Clinical Social Worker 1041C0700X 149.023504 IL Primary

Addresses

Primary practice location

319 E Madison St Ste 2M
Springfield, IL 62701-3122

Mailing address

1217 Oakmont Dr
Springfield, IL 62704-2122
Phone (443) 880-0808

Other practice location 1

50 Redfield St Ste 105
Dorchester, MA 02122-3640
Phone (774) 214-2156

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.023504ILMDClinical Social Worker
1140174MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Behavioral Associates Past Accepting new patients
Northeast Family Services of Illinois, Inc. Past Accepting new patients
Northeast Family Services of Illinois Past Accepting new patients
Worcester Youth and Family Counseling Services, Inc. Past Accepting new patients
Northeast Behavioral Associates Inc. Past Accepting new patients
Chesapeake Counseling and Psychological Services, Inc. Past Accepting new patients

Organizations & group practices 6

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1376526798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 OAKMONT DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627042122",
            "telephone_number": "443-880-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 E MADISON ST STE 2M",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627013122",
            "telephone_number": "217-900-0040",
            "fax_number": "217-331-1991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Redfield St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Dorchester",
            "state": "MA",
            "postal_code": "021223640",
            "country_code": "US",
            "telephone_number": "774-214-2156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENT",
        "first_name": "KATHY",
        "middle_name": "LEE",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1140174",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.023504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.