Individual provider Active NPI

Kren Kathleen Harmon, LCSW

  • Clinical Social Worker
  • Hazelwood, MO
National Provider Identifier
1447443544
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.006604 Issued in IL
Practice address
7220 N Lindbergh Blvd
Suite 350
Hazelwood, MO 63042-2019
Phone
(636) 695-4554
Fax
(636) 695-3099
NPI assigned
Aug 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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 149.006604 IL Primary
Clinical Social Worker 1041C0700X 2011004778 MO

Addresses

Primary practice location

7220 N Lindbergh Blvd
Suite 350
Hazelwood, MO 63042-2019

Mailing address

340 Crestview Dr
Wood River, IL 62095-4055
Phone (618) 251-0045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071212000348 IL Practitioner - Clinical Social Worker 2961592100 Reassigns benefits to 2 organizations
I20110519000387 MO Practitioner - Clinical Social Worker 2961592100 Practice locations: Hazelwood, MO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osf Healthcare SystemGroup PAC ID 4284541806, 94 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

1 Saint Anthonys Way
Alton, IL 62002-4568
Phone (618) 465-2571

2 Saint Anthonys Way
Alton, IL 62002-4569

2200 Central Ave
Alton, IL 62002-4569
Phone (618) 433-7600

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.006604ILMDClinical Social Worker
2011004778MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Healthcare System CurrentSince Nov 1, 2014 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jul 15, 2025 Accepting new patients
Osf Healthcare System Clinical CurrentSince Nov 1, 2014 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Dynamic Chiropractic & Wellness Center Past Accepting new patients

Locations

1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1447443544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 CRESTVIEW DR",
            "city": "WOOD RIVER",
            "state": "IL",
            "postal_code": "620954055",
            "telephone_number": "618-251-0045",
            "fax_number": "636-695-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 N LINDBERGH BLVD",
            "address_2": "SUITE 350",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422019",
            "telephone_number": "636-695-4554",
            "fax_number": "636-695-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "KREN",
        "middle_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.006604",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2011004778",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazelwood, MO

Sources for this page

Verify at the official NPI Registry.