Individual provider Active NPI

Kenneth Noone, LCSW,

  • Clinical Social Worker
  • Forked River, NJ
National Provider Identifier
1457643520
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05008000 Issued in NJ
Practice address
622 Devon St
Forked River, NJ 08731-2108
Phone
(609) 971-6918
NPI assigned
May 9, 2011
Last updated
May 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05008000 NJ Primary

Addresses

Primary practice location

622 Devon St
Forked River, NJ 08731-2108

Mailing address

622 Devon St
Forked River, NJ 08731-2108
Phone (609) 971-6918

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05008000NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1457643520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 DEVON ST",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087312108",
            "telephone_number": "609-971-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 DEVON ST",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087312108",
            "telephone_number": "609-971-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOONE",
        "first_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "LCSW,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-09",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05008000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forked River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.