Kenneth Duane Warden, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089.0124586 Issued in VT

Practice address

65 Northgate PLZ Ste 11
Morrisville, VT 05661-5900

Phone

(802) 888-8320

Fax

(802) 888-8136

NPI assigned

Aug 1, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT, CA2 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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sierra Family Medical Clinic IncGroup PAC ID 8224192927, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.16 of 100Reported as group

Quality

80.99

Improvement activities

40

Cost

72.05

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kenneth.warden@wsmc1.eclinicaldirectplus.com

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.

• Deer Oaks Mental Health Associates PC

  • Clinical Psychologist
  • Las Cruces, NM
  • NPI 1134175763

  VT

  Medicare reassignment NPD
• Whidbey Island Public Hospital District

  • Diagnostic Radiology Physician
  • Irvine, CA
  • NPI 1356205926
  Medicare reassignment
• Western Sierra Medical Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Nevada City, CA
  • NPI 1316169618
  Care Compare group
• Whidbey Island Public Hospital District

  • Clinical Social Worker
  • Desert Hot Springs, CA
  • NPI 1518819341
  NPD

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1497279426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320",
            "city": "PLAINFIELD",
            "state": "VT",
            "postal_code": "056670320",
            "telephone_number": "802-454-8336",
            "fax_number": "802-454-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 NORTHGATE PLZ STE 11",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056615900",
            "telephone_number": "802-888-8320",
            "fax_number": "802-888-8136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Northgate Plz Ste 11",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "VT",
            "postal_code": "056615900",
            "country_code": "US",
            "telephone_number": "802-888-8320",
            "fax_number": "802-888-8136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARDEN",
        "first_name": "KENNETH",
        "middle_name": "DUANE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-01",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0124586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030951",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• VT Psychotherapy Assessment & Consultation Services
• W Peter Guthmann DDS
• Nancy Wagner
• Walgreen Co
• Christyn Renee Walker
• Elliot Waring
• Gary Waring, M.D.
• Sarah Jane Waterman, M.D.
• Judith Watt
• Alicia Anne Marie Wein-Senghas, PSYD

• Clinical Social Worker in Morrisville, VT
• Providers in Morrisville, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.