NPIMap

Individual provider Active NPI

Kendra Renee Kitko

  • Clinical Social Worker
  • New Kensington, PA
National Provider Identifier
1497945653
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017494 Issued in PA
Practice address
310 Central City PLZ
New Kensington, PA 15068-6441
Phone
(724) 335-9883
Fax
(724) 335-2730
NPI assigned
Jul 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X CW017494 PA Primary

Addresses

Primary practice location

310 Central City PLZ
New Kensington, PA 15068-6441

Mailing address

310 Central City PLZ
New Kensington, PA 15068-6441
Phone (724) 335-9883

Other names 1

  • Ms. Kendra Renee Buelow Former name

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
CW017494PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wesley Family Services Past Accepting new patients
Family Services of Western Pennsylvania Clinical Past Accepting new patients
Family Behavioral Resources, Inc. Past Accepting new patients
Innersight LLC Clinical Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1497945653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CENTRAL CITY PLZ",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150686441",
            "telephone_number": "724-335-9883",
            "fax_number": "724-335-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CENTRAL CITY PLZ",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150686441",
            "telephone_number": "724-335-9883",
            "fax_number": "724-335-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITKO",
        "first_name": "KENDRA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDRA",
            "last_name": "BUELOW",
            "middle_name": "RENEE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Kensington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.