Active NPI
Kenneth B. Drew
- Social Worker
- Albany, NY
National Provider Identifier
1487932570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 047823-1
- Practice address
- 75 New Scotland Ave
Albany, NY 12208-3409 - Phone
- (518) 549-6440
- Fax
- (518) 549-6460
- NPI assigned
- Jul 25, 2011
- 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 | 047823-1 | NY | Primary |
Addresses
Primary practice location
75 New Scotland Ave
Albany, NY 12208-3409
Mailing address
75 New Scotland Ave
Albany, NY 12208-3409
Phone (518) 549-6440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047823-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1487932570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 NEW SCOTLAND AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122083409",
"telephone_number": "518-549-6440",
"fax_number": "518-549-6460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 NEW SCOTLAND AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122083409",
"telephone_number": "518-549-6440",
"fax_number": "518-549-6460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREW",
"first_name": "KENNETH",
"middle_name": "B.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-25",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "047823-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.