Active NPI
Kendal Jay Carswell Sr., LMSW, LCAC
- Social Worker
- Lakin, KS
National Provider Identifier
1396113015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 5645
- Practice address
- 500 E Thorpe St
Lakin, KS 67860-9625 - Phone
- (785) 355-7112
- Fax
- (785) 355-8636
- NPI assigned
- Sep 11, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 001 | KS | |
| Social Worker | 104100000X | 5645 | KS | Primary |
Addresses
Primary practice location
500 E Thorpe St
Lakin, KS 67860-9625
Mailing address
500 E Thorpe St
Lakin, KS 67860-9625
Phone (785) 355-7112
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 |
|---|---|---|---|
| 001 | KS | MD | Addiction (Substance Use Disorder) Counselor |
| 5645 | KS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441929600000",
"number": "1396113015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E THORPE ST",
"city": "LAKIN",
"state": "KS",
"postal_code": "678609625",
"telephone_number": "785-355-7112",
"fax_number": "785-355-8636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E THORPE ST",
"city": "LAKIN",
"state": "KS",
"postal_code": "678609625",
"telephone_number": "785-355-7112",
"fax_number": "785-355-8636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARSWELL",
"first_name": "KENDAL",
"middle_name": "JAY",
"name_suffix": "Sr.",
"credential": "LMSW, LCAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-11",
"last_updated": "2015-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KS",
"license": "001",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "5645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakin, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.