Active NPI
Kenneth A Kessel, LCSW
- Clinical Social Worker
- Wilmington, DE
National Provider Identifier
1417152513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R-030207
- Practice address
- 900 North Broom Street
#16
Wilmington, DE 19806 - Phone
- (646) 286-8015
- NPI assigned
- Jun 19, 2007
- Last updated
- May 14, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C005238 | NC | |
| Clinical Social Worker | 1041C0700X | R-030207 | NY | Primary |
| Clinical Social Worker | 1041C0700X | Q1-001299 | DE |
Addresses
Primary practice location
900 North Broom Street
#16
Wilmington, DE 19806
Mailing address
900 North Broom Street
#16
Wilmington, DE 19806-3424
Phone (646) 286-8015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6106343 | Medicaid | NC |
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 |
|---|---|---|---|
| Q1-001299 | DE | MD | Clinical Social Worker |
| C005238 | NC | MD | Clinical Social Worker |
| R-030207 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Megken Consulting LLC | Current | 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.
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- Wilmington, DE
- NPI 1225806391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1417152513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 NORTH BROOM STREET",
"address_2": "#16",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198063424",
"telephone_number": "646-286-8015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 NORTH BROOM STREET",
"address_2": "#16",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "19806",
"telephone_number": "646-286-8015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESSEL",
"first_name": "KENNETH",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-19",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C005238",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R-030207",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DE",
"license": "Q1-001299",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6106343",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.