Reagan Kenington Story
Individual provider Active NPI Social Worker · Montevallo, AL
NPI 1497569982 · NPPES record last updated Feb 4, 2025
Key facts
- NPI
- 1497569982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 1150 King St Apt 12
Montevallo, AL 35115-3595 - Phone
- (334) 419-9301
- NPI assigned
- Feb 4, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
1150 King St Apt 12
Montevallo, AL 35115-3595
Mailing address
1150 King St Apt 12
Montevallo, AL 35115-3595
Phone (334) 419-9301
Other providers in Montevallo, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.