Individual provider Active NPI

Kenneth Ray Denson, LSW

  • Social Worker
  • South Elgin, IL
National Provider Identifier
1427304062
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.011247 Issued in IL
Practice address
686 Kateland Way
South Elgin, IL 60177-3720
Phone
(630) 726-0729
NPI assigned
Aug 1, 2012
Last updated
Aug 1, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.011247 IL Primary

Addresses

Primary practice location

686 Kateland Way
South Elgin, IL 60177-3720

Mailing address

686 Kateland Way
South Elgin, IL 60177-3720
Phone (630) 726-0729

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

LicenseStateTypeSpecialty
150.011247ILMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1427304062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 KATELAND WAY",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601773720",
            "telephone_number": "630-726-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 KATELAND WAY",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601773720",
            "telephone_number": "630-726-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENSON",
        "first_name": "KENNETH",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.011247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.