Active NPI
Andrew James Joseph-Kemplin, LSW
- Social Worker
- Wooster, OH
National Provider Identifier
1407359623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.1801935
- Practice address
- 2285 Benden Dr
Wooster, OH 44691-2568 - Phone
- (330) 264-9029
- Fax
- (330) 263-7251
- NPI assigned
- Mar 14, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1801935 | OH | Primary |
Addresses
Primary practice location
2285 Benden Dr
Wooster, OH 44691-2568
Mailing address
436 E Highland Ave
Wooster, OH 44691-1722
Phone (937) 925-6978
Other practice location 1
436 E Highland Ave
Wooster, OH 44691-1722
Phone (937) 925-6978
Other practice location 2
3095 Kettering Blvd
Moraine, OH 45439-1983
Phone (937) 293-8300
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 |
|---|---|---|---|
| S.1801935 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576627200000",
"number": "1407359623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "436 E HIGHLAND AVE",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446911722",
"telephone_number": "937-925-6978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2285 BENDEN DR",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446912568",
"telephone_number": "330-264-9029",
"fax_number": "330-263-7251"
}
],
"practiceLocations": [
{
"address_1": "436 E Highland Ave",
"address_purpose": "LOCATION",
"city": "Wooster",
"state": "OH",
"postal_code": "446911722",
"country_code": "US",
"telephone_number": "937-925-6978",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3095 Kettering Blvd",
"address_purpose": "LOCATION",
"city": "Moraine",
"state": "OH",
"postal_code": "454391983",
"country_code": "US",
"telephone_number": "937-293-8300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOSEPH-KEMPLIN",
"first_name": "ANDREW",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-14",
"last_updated": "2019-12-18",
"certification_date": "2019-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1801935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.